Individual
REBECA SOUZA DE MENEZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4038 FALSE RIVER DR, BOSSIER CITY, LA 71111-6437
(928) 856-2993
Mailing address
4038 FALSE RIVER DR, BOSSIER CITY, LA 71111-6437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
S-1255
LA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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