Individual
AKANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1327 PIERRE AVE, SHREVEPORT, LA 71103-3056
(318) 212-8624
(318) 226-8545
Mailing address
1327 PIERRE AVE, SHREVEPORT, LA 71103-3056
(318) 212-8624
(318) 226-8545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10308
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721441
—
LA
Enumeration date
05/16/2006
Last updated
12/13/2007
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