Most Relevant Information
Provider Data
| NPI Number: | 1003526039 |
| Provider Name: | NIEONTRA NICOLLE REDDIX |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 008108474 |
Most Important Dates
| Enumeration Date: | 11/30/2022 |
| Last Updated: | 11/30/2022 |
Provider Practice Location
1950 2ND ST UNIT 1964
SLIDELL
LA
704583206
Practice Location Phone/Fax
| Phone: | 9857105303 |
| Fax: |
Provider Mailing Location
1950 2ND ST UNIT 1964
SLIDELL
LA
704583206
Provider Mailing Phone/Fax
| Phone: | 9857105303 |
| Fax: |