Individual
MR. NELSON TIAMZON CUNANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5903 PAMPUS LN, BOSSIER CITY, LA 71112-4985
(318) 965-6497
Mailing address
5903 PAMPUS LN, BOSSIER CITY, LA 71112-4985
(318) 965-6497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8181
LA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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