Individual
DEIDRA ANTOINETTE ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 261-2300
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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