Organization
TIMELESS RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBA WEYMOUTH FNP (OWNER)
(985) 893-6073
Entity
Organization
Contact information
Practice address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 893-6073
(985) 893-6174
Mailing address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 893-6073
(985) 893-6174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04133
LA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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