Individual
MR. RODERICK MYLES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 INEICHEN ST STE A, RAYVILLE, LA 71269-3223
(318) 417-7780
Mailing address
114 INEICHEN ST STE A, RAYVILLE, LA 71269-3223
(318) 417-7780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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