Individual
MRS. DEMETRIA MILFORD RAVARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 METRO DR STE C1, ALEXANDRIA, LA 71301-3446
(318) 625-7467
(318) 625-7420
Mailing address
1403 METRO DR STE C1, ALEXANDRIA, LA 71301-3446
(318) 625-7467
(318) 625-7420
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN141179
LA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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