Individual
MRS. RANDALLA TAREN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8100
Mailing address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07476
LA
Other
Enumeration date
09/30/2013
Last updated
03/03/2025
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