Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors |
NPI | 1528423175 |
---|---|
Provider Name | Miss Deanna Lorraine Edwards |
First Address | Princeton, LA 71067-0580 |
Second Address | Bossier City, LA 71112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2015 |
Last Update Date | 28/12/2015 |