Provider Demographics
NPI:1629466321
Name:DOLHONDE, JONI (CSFA/CST)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:DOLHONDE
Suffix:
Gender:F
Credentials:CSFA/CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53493 HIGHWAY 433
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-4719
Mailing Address - Country:US
Mailing Address - Phone:985-768-9061
Mailing Address - Fax:985-641-1382
Practice Address - Street 1:53493 HIGHWAY 433
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-4719
Practice Address - Country:US
Practice Address - Phone:985-768-9061
Practice Address - Fax:985-641-1382
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-03
Last Update Date:2015-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA144132246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant