Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 14575R | LA |
NPI | 1073521191 |
---|---|
Provider Name | Jocelyne Afif Saikali |
First Address | Leesville, LA 71496-0780 |
Second Address | Leesville, LA 71446-4752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 02/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1124222 | (05) | LA |
H71438 | (02) | LA |