Individual
DEBRA RENEE BELLAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
10051 WINDING RIDGE DR, SHREVEPORT, LA 71106-7685
(318) 797-5773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
039338
LA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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