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Individual

DANIEL RACHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
175 HECTOR AVE, GRETNA, LA 70056-2590
(504) 349-6925
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-1297
(504) 349-1146

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
324941
LA
390200000X
Student in an Organized Health Care Education/Training Program
309446
LA

Other

Enumeration date
03/28/2019
Last updated
10/13/2022
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