Individual
SHONDRANISE NICOLE RHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N 3RD STREET, MONROE, LA 71201
(318) 283-0868
Mailing address
320 S FRANKLIN ST, BASTROP, LA 71220-4539
(318) 283-0868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5375
LA
Other
Enumeration date
10/07/2014
Last updated
03/21/2022
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