Individual
MRS. SARAH RAE DEYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200274
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09489895
—
MS
05
—
1888095
—
LA
Enumeration date
07/07/2009
Last updated
08/31/2021
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