Individual
MS. CAROLYN RIDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2837 ERNEST ST, LAKE CHARLES, LA 70601-8785
(337) 480-8990
(337) 439-1133
Mailing address
2837 ERNEST ST, LAKE CHARLES, LA 70601-8785
(337) 480-8990
(337) 439-1133
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN044627-AP06618
LA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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