person
Jason Desselle
Prosthetics Case Management in Pineville, Louisiana
NPI 1851774376

Jason Desselle is a Prosthetics Case Management based in Pineville, LA and is specialized in Prosthetics Case Management. Jason Desselle practices in Pineville, LA. The NPI Number for Jason Desselle is 1851774376 and holds a License No. C50072 (Louisiana).

The current practice location address for Jason Desselle is 2495 Shreveport Hwy # 71, Pineville, LA and can be reached out via phone at 318-466-4020.

Location: 2495 Shreveport Hwy # 71, Pineville, LA, 71360-4044
person
Provider Profile Details
NPI Number
1851774376
Provider Name
Jason Desselle
Credential
Provider Entity Type
Individual
Gender
Male
Address
2495 Shreveport Hwy # 71, Pineville, LA, 71360-4044
Phone Number
318-466-4020
Fax Number
Provider Enumeration Date
07/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2495 Shreveport Hwy # 71
City
State
Zip
71360-4044
Phone Number
318-466-4020
Fax Number
person
Provider Business Mailing Address Details
Address
2495 Shreveport Hwy # 71
City
State
Zip
71360-4044
Phone Number
318-466-4020
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
C50072 (Louisiana)
Definition
Definition to come...
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