Individual
RACHELE KELLEY RADELAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
4900 GREGOIRE ST, METAIRIE, LA 70006-1233
(504) 628-4399
Mailing address
4900 GREGOIRE ST, METAIRIE, LA 70006-1233
(504) 628-4399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z12403
LA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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