NPI 1447926332

Melinda Blaire Rose

Practitioner Peer Specialist Bossier City, LA

Practice location

Address: 1505 Doctors Dr, Bossier City, LA 71111-3321
Phone: (318) 584-7133
Fax: (318) 584-7135

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1447926332
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2021
Record last updated: 19 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.