Individual
DR. JOAN TABATHA FISHER-RANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12841 PLANK RD, SUITE A, BAKER, LA 70714-4908
(225) 775-3552
(225) 775-3569
Mailing address
12841 PLANK RD, SUITE A, BAKER, LA 70714-4908
(225) 775-3552
(225) 775-3569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4877
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848778
—
LA
Enumeration date
11/18/2010
Last updated
11/18/2010
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