Individual
JASON BENJAMIN REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16061 DOCTORS BLVD, SUITE B, HAMMOND, LA 70403-1479
(504) 338-4746
(985) 318-1005
Mailing address
16061 DOCTORS BLVD, SUITE B, HAMMOND, LA 70403-1479
(504) 338-4746
(985) 318-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD025097
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1576441
—
LA
Enumeration date
02/23/2006
Last updated
04/07/2020
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