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Individual

MS. SHAHERA RAYLANDA VESSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9150 BEREFORD DR, BATON ROUGE, LA 70809-2403
(225) 960-7689
(225) 960-7690
Mailing address
PO BOX 766, SAINT FRANCISVILLE, LA 70775-0766
(225) 223-3730

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
06/26/2017
Last updated
06/26/2017
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