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Manasa Morisetti

Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).

NPI number1164091278
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1164091278
Entity type
Individual (NPI-1)
Name
Manasa Morisetti
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2021
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-675-7822

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-675-7822

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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