Individual
DOSHA NICOLE BANGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11758 S HARRELLS FERRY RD STE B, BATON ROUGE, LA 70816-2365
(225) 428-6614
Mailing address
4549 AVENUE D, ZACHARY, LA 70791-3315
(225) 305-2036
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
111615
LA
Other
Enumeration date
11/06/2020
Last updated
12/28/2020
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