Reynoso, Clarissa Vitalina

Reynoso, Clarissa Vitalina is an sole proprietor health care provider with primary practice located at 8415 Goodwood Blvd Ste 202 , Baton Rouge LA 70806-7851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Reynoso, Clarissa Vitalina can be contacted via phone (225) 765-8013.

Contact Information

Primary practice address
8415 Goodwood Blvd Ste 202 Baton Rouge LA 70806-7851
Phone: (225) 765-8013
Fax: (225) 765-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 334001 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD41082 South Carolina

Profile Details

NPI number 1669877908
LBN Legal business name Reynoso, Clarissa Vitalina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2014
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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