Individual
RAVEN LEBRETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12460 BLACKWELL LN, FRANKLINTON, LA 70438-4670
(985) 249-1698
Mailing address
12460 BLACKWELL LN, FRANKLINTON, LA 70438-4670
(985) 249-1698
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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