All Medicaid billing entities listing FASELT, DEANNA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Louisiana | 1 | $275.71 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GULF COAST MOBILE IMAGING | COVINGTON, LA | Radiologic Technologist | $275.71 |