Organization
BEAUREGARD MEDICAL SOLUTIONS LLC
Active
Other names
Beauregard Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
CWENTEENIA LACOLE WILSON (OWNER)
(702) 832-7060
Entity
Organization
Contact information
Practice address
1512 N PINE ST STE B, DERIDDER, LA 70634-2418
(702) 463-8850
(702) 202-0220
Mailing address
1512 N PINE ST STE B, DERIDDER, LA 70634-2418
(702) 463-8850
(702) 202-0220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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