Individual
MRS. DRUSCELLA CORRINA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 WALLER AVENUE, BOSSIER CITY, LA 71112
(318) 746-8729
Mailing address
2919 DONALD DRIVE, BOSSIER CITY, LA 71112
(318) 272-8238
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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