Most Relevant Information
Provider Data
| NPI Number: | 1003473539 |
| Provider Name: | NATALIE DENISE REED-DYER |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2019 |
| Last Updated: | 05/20/2019 |
Provider Practice Location
215 JENNIFER ST
GRAY
LA
703594915
Practice Location Phone/Fax
| Phone: | 9856651325 |
| Fax: |
Provider Mailing Location
215 JENNIFER ST
GRAY
LA
703594915
Provider Mailing Phone/Fax
| Phone: | 9856651325 |
| Fax: |