Individual
CAROLYNE ADHIAMBO REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7505 PINES RD STE 1235, SHREVEPORT, LA 71129-3900
(225) 932-9150
Mailing address
7603 MARY ANN CIR, SHREVEPORT, LA 71107-8879
(318) 553-0102
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP09548
LA
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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