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Individual

DONESA WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCCS

Contact information

Practice address
8856 YOUREE DR STE D, SHREVEPORT, LA 71115-2514
(318) 797-8523
(318) 797-8525
Mailing address
8856 YOUREE DR STE D, SHREVEPORT, LA 71115-2514
(318) 797-8523
(318) 797-8525

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BCCS206959

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCCS206959
IBCCES
LA
Enumeration date
04/02/2020
Last updated
04/02/2020
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