Individual
ROBERT REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAC
Contact information
Practice address
2325 WEYMOUTH DR, BATON ROUGE, LA 70809-1425
(225) 367-0919
Mailing address
2325 WEYMOUTH DR, BATON ROUGE, LA 70809-1425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RAC5075
LA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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