Individual
DANA TERRELL HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 EVANGELINE LN, RAYNE, LA 70578-4053
(337) 458-1316
Mailing address
217 EVANGELINE LN, RAYNE, LA 70578-4053
(337) 458-1316
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
006288957
LA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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