Individual
KALIYAH DUNMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
Mailing address
2513 FERRAND ST, MONROE, LA 71201-3210
(183) 623-2703
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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