Individual
MS. DEWANA BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5326 OAK ST., ST. FRANCISVILLE, LA 70775
(225) 635-5848
Mailing address
PO BOX 487, SAINT FRANCISVILLE, LA 70775-0487
(225) 635-5848
(225) 635-5847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03925
LA
Other
Enumeration date
02/06/2007
Last updated
10/21/2020
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