Individual
MRS. RACQUEL RAVARE GRADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1270 ATTAKAPAS DR STE 501, OPELOUSAS, LA 70570-6530
(337) 942-9977
Mailing address
PO BOX 2118, OPELOUSAS, LA 70571-2118
(337) 594-3499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10078
LA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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