Individual
CANIESIA FATIMA DAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 SOUTHFORK AVE STE 403, BATON ROUGE, LA 70816-5241
(225) 261-7143
(225) 250-1026
Mailing address
102 KNIGHT ST, BROUSSARD, LA 70518-4820
(337) 552-8556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
008187635
LA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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