Individual
JEFFRE RAYBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12602 COURSEY BLVD, BATON ROUGE, LA 70816-4555
(225) 439-7255
Mailing address
12602 COURSEY BLVD, BATON ROUGE, LA 70816-4555
(225) 439-7255
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
884063
LA
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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