Individual
CHERYL RINCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W. ESPLANADE AVENUE, #210, KENNER, LA 70065
(504) 464-8588
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
201518
LA
2084N0600X
Clinical Neurophysiology Physician
Primary
M.D.201518
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07604261
—
MS
05
—
1215546
—
LA
Enumeration date
06/25/2007
Last updated
09/02/2010
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