Individual
RANDELL M MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 FAYETTE ST, KENNER, LA 70062-5030
(504) 669-8185
Mailing address
2744 FAYETTE ST, KENNER, LA 70062-5030
(504) 669-8185
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008674919
LA
Other
Enumeration date
04/18/2022
Last updated
04/20/2022
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