Individual
DIONDREA REGINA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1048 DEVEREAUX RD, SHREVEPORT, LA 71107-3004
(318) 453-1339
(318) 425-5447
Mailing address
PO BOX 62, MINDEN, LA 71058-0062
(318) 453-1339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
08/12/2019
Last updated
07/20/2022
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