Individual
DR. RAE ANN GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3301 VETERANS BOULEVARD, SUITE # 203, METAIRIE, LA 70002
(504) 833-6825
(504) 833-5309
Mailing address
3063 GRAND RTE SAINT JOHN ST, NEW ORLEANS, LA 70119-3026
(225) 721-2048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5909
LA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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