Jason Desselle

NPI #1851774376 in Pineville, Louisiana

Provider Information

NPI Number: 1851774376
Entity Type: Individual
Name: Jason Desselle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Jul 1, 2015
Last Updated: Jul 1, 2015

Practice Location

Address: 2495 SHREVEPORT HWY # 71
City: Pineville
State: Louisiana
ZIP Code: 71360-4044
Phone: (318) 466-4020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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Organizations

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