Individual
RACHEAL LAGRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S CLEARVIEW PKWY, NEW ORLEANS, LA 70121-1015
(504) 616-1778
Mailing address
30 WILLARD PL, WESTWEGO, LA 70094-5504
(504) 616-1778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
305989
LA
225700000X
Massage Therapist
LA9886
LA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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