Individual
RANDI LYNE TALBOT NAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
36317 W PINE GROVE CT, PRAIRIEVILLE, LA 70769-3462
(985) 859-4261
Mailing address
36317 W PINE GROVE CT, PRAIRIEVILLE, LA 70769-3462
(985) 859-4261
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06775
LA
Other
Enumeration date
03/27/2012
Last updated
04/26/2012
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