Individual
CHARETTE DELLAGATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCRP
Contact information
Practice address
1449 E BERT KOUN LOOP STE 102, SHREVEPORT, LA 71105-5663
(318) 681-5353
(318) 681-6305
Mailing address
6021 DILLINGHAM AVE, SHREVEPORT, LA 71106-2109
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
RN148778
LA
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN148778
LA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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