Individual
MRS. DWAN S STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MONROE ST, GRETNA, LA 70053-2215
(504) 362-0376
(504) 365-0878
Mailing address
905 MONROE ST, GRETNA, LA 70053-2215
(504) 362-0376
(504) 365-0878
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
8739
LA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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