Individual
CHRISTINE DESSAUER MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
13030 HIGHWAY 308, LAROSE, LA 70373-2056
(985) 798-7000
(985) 798-7021
Mailing address
13030 HIGHWAY 308, LAROSE, LA 70373-2056
(985) 798-7000
(985) 798-7021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10626.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625132
—
LA
Enumeration date
01/04/2007
Last updated
03/21/2012
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