Individual
CHRISTINA RUTH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
308282
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2358839
—
LA
Enumeration date
04/09/2014
Last updated
03/12/2024
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