Individual
DEBORAH ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9428 BROOKLINE AVE STE 2, BATON ROUGE, LA 70809-1428
(225) 372-2693
Mailing address
9428 BROOKLINE AVE STE 2, BATON ROUGE, LA 70809-1428
(225) 372-2693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
LA
Enumeration date
02/28/2019
Last updated
02/28/2019
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