Individual
RENARDA BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
626 CAROLINA AVE, BOGALUSA, LA 70427-3319
(985) 732-6615
(985) 732-6621
Mailing address
626 CAROLINA AVE, BOGALUSA, LA 70427-3319
(985) 732-6615
(985) 732-6621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133767
LA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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