DANIEL LONGINO

BOSSIER CITY, LA
NPI1144779091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  AP08930)
Enumeration Date2016-10-03
Last Update Date2021-07-08
Business Address
DANIEL LONGINO
2400 HOSPITAL DR STE 130
BOSSIER CITY, LA 71111-2386
Phone number: 318-212-7990
Mailing Address
DANIEL LONGINO
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951