Individual
RAYMOND RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
617 ARIS AVE, METAIRIE, LA 70005-2927
(504) 835-4771
Mailing address
617 ARIS AVE, METAIRIE, LA 70005-2927
(504) 835-4771
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00303
LA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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