Individual
MRS. TINA KADLUBAR REGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 PLANTATION DRIVE, LAKE CHARLES, LA 70605-5266
(337) 478-7152
(337) 478-7104
Mailing address
2021 PLANTATION DRIVE, LAKE CHARLES, LA 70605-5266
(337) 478-7152
(337) 478-7104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN056642
LA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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