Doctor Name: | DAPHNE DEL VALLE |
NPI Number: | 1952411548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 13956 |
Business Practice Address: | 2495 Shreveport Hwy Pineville, LA - 713604044 |
Business Phone Number: | 3184730010 |
Business Fax Number: | 3184835017 |
Mailing Address: | 6605 Lodi Rd, ALEXANDRIA |
State: | LA |
Postal Code: | 71303 |
Phone Number: | 3184662421 |
Fax Number: | 3184835017 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |