Individual
REGINE BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 PELICAN BAY BLVD, MARRERO, LA 70072-6075
(504) 333-3380
(504) 347-2354
Mailing address
2644 PELICAN BAY BLVD, MARRERO, LA 70072-6075
(504) 333-3380
(504) 347-2354
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
435368
LA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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