Individual
MISS DALIA FOUAD MOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 N MARKET ST, SHREVEPORT, LA 71107-5212
(318) 425-6280
(318) 222-1889
Mailing address
1850 N MARKET ST, SHREVEPORT, LA 71107-5212
(318) 425-6280
(318) 222-1889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19188
LA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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