Individual
SHELIA KAY RIDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2425 BELMONT BLVD, BOSSIER CITY, LA 71111-2428
(318) 658-9040
(318) 658-9040
Mailing address
2425 BELMONT BLVD, BOSSIER CITY, LA 71111-2428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN056620
LA
Other
Enumeration date
12/07/2017
Last updated
03/17/2018
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