Individual
JARVIS DEROME DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
(318) 626-5691
Mailing address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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