Individual
DANIELLE MARIE FUSELIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 ODD FELLOWS RD, CROWLEY, LA 70526-2206
(337) 783-7004
(337) 783-0070
Mailing address
345 ODD FELLOWS RD, CROWLEY, LA 70526-2206
(337) 783-7004
(337) 783-0070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311416
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2016
Last updated
06/14/2019
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