Individual
CHRISTOPHER KYLE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
210 2ND ST, RAYNE, LA 70578-5252
(225) 610-0644
Mailing address
210 2ND ST, RAYNE, LA 70578-5252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139061
LA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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