Individual
TREVOR RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4221
Mailing address
513 FAYE AVE, METAIRIE, LA 70003-4823
(318) 423-7683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
148107
LA
390200000X
Student in an Organized Health Care Education/Training Program
911763
MS
Other
Enumeration date
08/09/2020
Last updated
02/10/2021
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