Individual
RACHEL COURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 CAMELLIA DR, LAFAYETTE, LA 70503-4701
(337) 984-0123
(337) 984-5551
Mailing address
509 CAMELLIA DR, LAFAYETTE, LA 70503-4701
(337) 984-0123
(337) 984-5551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
556222
LA
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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