Individual
NAOMI DIEGO- GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 W 68TH ST STE 902, SHREVEPORT, LA 71106-2808
(270) 989-0262
Mailing address
7607 FERN AVE STE 902-903, SHREVEPORT, LA 71105-5739
(318) 524-9954
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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