Individual
JANET SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 NORTHPARK DR, BOSSIER CITY, LA 71111-2241
(318) 906-5054
Mailing address
533 NORTHPARK DR, BOSSIER CITY, LA 71111-2241
(318) 906-5054
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
004025822
LA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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