NPI Profile for DEWANA BOBO in SAINT FRANCISVILLE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1679612634 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/06/2007 | |
| Last updated | 10/21/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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DEWANA BOBO
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