Individual
RAVEN NICOLE DUGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 664-1579
Mailing address
920 TWIN BRIDGES RD APT 74, ALEXANDRIA, LA 71303-2072
(225) 810-0108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200020
LA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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