Individual
MRS. RAYCHELLE LANDRY GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
46519 HIGHLAND DR, HAMMOND, LA 70401-4038
(985) 345-8799
Mailing address
46519 HIGHLAND DR, HAMMOND, LA 70401-4038
(985) 345-8799
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
Z11541
LA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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