Individual
DR. DEANNA ELISE MOSSALLATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
8551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103
(318) 621-2929
Mailing address
8551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103
(318) 621-2929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
303623
LA
Other
Enumeration date
03/18/2013
Last updated
09/14/2016
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