Individual
RAHSAN ROLAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HS
Contact information
Practice address
139 EQUITY BLVD, HOUMA, LA 70360-8363
(609) 675-8521
Mailing address
736 ANSLEY PLACE CT, HOUMA, LA 70360-2944
(609) 675-8521
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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