Individual
REGINALD MEGAL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 SOUTH STORER AVE, IOWA, LA 70647-7064
(337) 540-1055
Mailing address
2121 8TH ST, LAKE CHARLES, LA 70601-6583
(337) 540-1055
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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