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MR. RAYMOND MAURICE NJALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T

Contact information

Practice address
344 MISSION DRIVE, SIMMESPORT, LA 71369
(318) 941-5006
Mailing address
1900 FALSE RIVER DR, #1, NEW ROADS, LA 70760-2653
(225) 638-6957

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04007R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4CO19
MEDICARE PROVIDER #
LA
Enumeration date
05/09/2007
Last updated
07/08/2007
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