Organization
WEST WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY RAEUCHLE WEST MD (OWNER)
(337) 654-1476
Entity
Organization
Contact information
Practice address
7941 PICARDY AVE OFC 2, BATON ROUGE, LA 70809-3536
(337) 849-1945
Mailing address
7941 PICARDY AVE OFC 2, BATON ROUGE, LA 70809-3536
(337) 849-1945
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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