Individual
BIANCA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 STONEBURG DR, DUSON, LA 70529-3947
(337) 275-1419
Mailing address
213 STONEBURG DR, DUSON, LA 70529-3947
(337) 275-1419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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