Individual
RAINEE R DESHOTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1332 POOL ST, MAMOU, LA 70554-3528
(225) 931-1533
Mailing address
1332 POOL ST, MAMOU, LA 70554-3528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5629
LA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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