Individual
RENEE PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7000
Mailing address
PO BOX 2158, LAFAYETTE, LA 70502-2158
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN126222
LA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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