Individual
LATOUSHA DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 RIVERWOOD DR STE C, BOSSIER CITY, LA 71111-3498
(318) 458-1513
Mailing address
2310 RIVERWOOD DR STE C, BOSSIER CITY, LA 71111-3498
(318) 458-1513
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
373760
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
CERTIFIED HAIR LOSS SPECIALIST
LA
Enumeration date
03/21/2018
Last updated
03/21/2018
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