Individual
RAEGAN BENEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W HIGHWAY 30 # 201, GONZALES, LA 70737-4818
(225) 413-4308
Mailing address
42168 BALD EAGLE AVE, PRAIRIEVILLE, LA 70769-6065
(225) 413-4308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7272
LA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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