Individual
MRS. RACHEL E MOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 COUNTRY LAKES TRL, RAYNE, LA 70578-2662
(337) 501-2647
Mailing address
302 COUNTRY LAKES TRL, RAYNE, LA 70578-2662
(337) 501-2647
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
OS575810
LA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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