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Individual

SAVANNAH THOMPSON RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-6267
(318) 812-6458
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-9997

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06864
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2197606
LA
Enumeration date
06/14/2012
Last updated
06/13/2019
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