Organization
ANGIE MEDICAL CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONICE JEFFERSON RAYFORD (OWNER/CEO)
(985) 986-0016
Entity
Organization
Contact information
Practice address
29764 HIGHWAY 21, ANGIE, LA 70426-3069
(985) 986-0016
(985) 986-1260
Mailing address
29764 HIGHWAY 21, ANGIE, LA 70426-3069
(985) 986-0016
(985) 986-1260
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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