Individual
MRS. SERENA ANN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-5430
(318) 362-3428
Mailing address
4781 S GRAND ST, MONROE, LA 71202-6403
(318) 362-5430
(318) 362-3428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
950770
LA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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