JAYSON DIVINO RODRIGUEZ

SHREVEPORT, LA
NPI1417278458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: LA  301146)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC  LL32639)
Enumeration Date2010-06-14
Last Update Date2017-06-21
Business Address
Dr. JAYSON DIVINO RODRIGUEZ M.D.
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5053
Mailing Address
Dr. JAYSON DIVINO RODRIGUEZ M.D.
1501 KINGS HIGHWAY ATTN: LEISA OGLESBY (RM. 1-201)
SHREVEPORT, LA 71103-4228
Phone number: 318-675-4881
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