ANNALIESA FANGUY

BOSSIER CITY, LA
NPI1760365530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  348260)
Enumeration Date2025-07-29
Last Update Date2025-07-29
Business Address
ANNALIESA FANGUY MD
5400 E TEXAS ST
BOSSIER CITY, LA 71111-6906
Phone number: 318-675-1313
Mailing Address
ANNALIESA FANGUY MD
5400 E TEXAS ST
BOSSIER CITY, LA 71111-6906
Phone number:
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