Individual
MR. DWAYNE ANTHONY DEGREE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 L B LANDRY AVE, NEW ORLEANS, LA 70114-6058
(919) 667-3173
Mailing address
1525 L B LANDRY AVE, NEW ORLEANS, LA 70114-6058
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122044792
WORK
LA
Enumeration date
10/06/2017
Last updated
10/06/2017
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