Individual
MR. RODERICK DANNTE HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6211 MANOR DR, ALEXANDRIA, LA 71302-2203
(318) 730-4853
Mailing address
6211 MANOR DR, ALEXANDRIA, LA 71302-2203
(318) 730-4853
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
200194
LA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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