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Individual

RODERICK LEE EDWARDS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5724 BENSON DR, BATON ROUGE, LA 70812-2603
(225) 371-4203
Mailing address
5724 BENSON DR, BATON ROUGE, LA 70812-2603
(225) 371-4203

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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