Provider Demographics
NPI:1912495409
Name:FREEMAN, ROMEKIA RACHELLE
Entity Type:Individual
Prefix:
First Name:ROMEKIA
Middle Name:RACHELLE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3516
Mailing Address - Country:US
Mailing Address - Phone:334-550-5208
Mailing Address - Fax:
Practice Address - Street 1:750 E LAUREL AVE
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3516
Practice Address - Country:US
Practice Address - Phone:334-550-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist