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Individual

RAVEN FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2414 BUNKER HILL DR, BATON ROUGE, LA 70808-3303
(985) 210-3091
Mailing address
2414 BUNKER HILL DR, BATON ROUGE, LA 70808-3303
(985) 210-3091

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210671
LA

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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