Individual
MRS. RESHADA SINGLETON LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
2500 OLD TOWNE DR, ZACHARY, LA 70791-2779
(225) 301-5227
Mailing address
2500 OLD TOWNE DR, ZACHARY, LA 70791-2779
(225) 301-5227
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
PRIVATE PAYMENT
LA
Enumeration date
02/01/2020
Last updated
02/04/2020
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