DUSTIN DAVID DENICOLA

BATON ROUGE, LA
NPI1073879508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  RN117110-AP06574)
Enumeration Date2012-04-10
Last Update Date2017-03-23
Business Address
-- DUSTIN DAVID DENICOLA N.P.
4950 ESSEN LN SUITE 300
BATON ROUGE, LA 70809-3738
Phone number: 225-490-8882
Mailing Address
-- DUSTIN DAVID DENICOLA N.P.
PO BOX 84460
BATON ROUGE, LA 70884-4460
Phone number: 225-526-6001
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