DANIELLA PHUONG-DI DANG

SHREVEPORT, LA
NPI1093006603
Other NamePHUONG-D DUC DANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: LA  301864)
Additional Taxonomies2085R0001X 
(Licence: IL  036177056)
2085R0001X 
(Licence: WI  74019-20)
Enumeration Date2011-04-29
Last Update Date2025-10-07
Business Address
DANIELLA PHUONG-DI DANG M.D.
2600 KINGS HWY
SHREVEPORT, LA 71103-3950
Phone number: 318-212-4639
Mailing Address
DANIELLA PHUONG-DI DANG M.D.
PO BOX 1684
SHREVEPORT, LA 71165-1684
Phone number: 318-424-4008