Individual
DIANE L SINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7840 JEWELLA AVE, SHREVEPORT, LA 71108-5004
(318) 687-0881
(318) 687-7585
Mailing address
7840 JEWELLA AVE, SHREVEPORT, LA 71108-5004
(318) 687-0881
(318) 687-7585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
444
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051942
RAILROAD PROVIDER #
LA
01
—
F9160
BLUE CROSS PROVIDER #
LA
Enumeration date
05/19/2006
Last updated
06/15/2012
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