Individual
RAEANN LEE NETHERCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1435 UNION ST, LAFAYETTE, IN 47904-2059
(765) 423-1551
Mailing address
1097 W MT CALVARY RD, RENSSELAER, IN 47978-8464
(219) 208-0356
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13006244A
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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