Organization
BIENVENUE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA S WILLIS NURSE PRACTITIONER (NP)
(318) 426-4064
Entity
Organization
Contact information
Practice address
228 SPRING ST., SUITE 110, SHREVEPORT, LA 71101
(318) 225-6264
(985) 224-1414
Mailing address
708 FIR WOOD LN, HAUGHTON, LA 71037-8880
(318) 426-4064
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
12/19/2024
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