Individual
RAYSHAWN KEMYATTA GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 CANAL ST, 310, NEW ORLEANS, LA 70119-5548
(504) 948-3322
(504) 948-9190
Mailing address
2714 CANAL ST, 310, NEW ORLEANS, LA 70119-5548
(504) 948-3322
(504) 948-9190
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
11987
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152111
—
LA
05
—
1152129
—
LA
05
—
1152137
—
LA
05
—
1171981
—
LA
Enumeration date
02/05/2007
Last updated
12/27/2007
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