Individual
CHERYL DENISE RABALAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 RAY LOCHALA RD, CROSSETT, AR 71635-4542
(870) 364-0590
Mailing address
476 KELLEY RD, CROSSETT, AR 71635-9186
(870) 304-2543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003896
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199692758
—
AR
Enumeration date
06/21/2013
Last updated
05/16/2023
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