Individual
DANIELLE BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTT
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 780-1347
Mailing address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
12233
LA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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