Individual
DANIELLE DESHA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 COLONIAL DR STE D, BATON ROUGE, LA 70806-6549
(225) 246-2162
(225) 300-4797
Mailing address
11868 TAMS DR, BATON ROUGE, LA 70815-2258
(225) 384-3075
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20140296
LA
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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