Individual
DYANI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1915 AUDUBON PL, SHREVEPORT, LA 71105-3425
(318) 762-3790
Mailing address
1915 AUDUBON PL, SHREVEPORT, LA 71105-3425
(318) 762-3790
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
RN131902
LA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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