Individual
DYSHELL POSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CHINABERRY DR, BOSSIER CITY, LA 71111-2442
(318) 584-7166
Mailing address
4306 S GRAND ST, MONROE, LA 71202-6322
(318) 322-9418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
03/22/2024
Last updated
10/14/2024
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