Individual
VICTORIA RACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7424 JOHNSTON ST, LAFAYETTE, LA 70503-6514
(337) 315-6125
Mailing address
7424 JOHNSTON ST, LAFAYETTE, LA 70503-6514
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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