Individual
DEXTER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH EDUCATOR
Contact information
Practice address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
Mailing address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 352-9299
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
OMC-LC101
LA
Other
Enumeration date
10/15/2020
Last updated
10/16/2020
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