Individual
RAYGAN NEELY FLUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
695 SAN ANTONIO AVE, MANY, LA 71449-3018
(318) 256-3641
Mailing address
170 RABBIT RUN LN, MANY, LA 71449-7127
(318) 256-9319
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3089
LA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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