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Individual

MRS. RACHAEL GORNEY SOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
(504) 836-9608
Mailing address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
(504) 836-9696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06690
LA
363LF0000X
Family Nurse Practitioner
RN115872
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04900013
MS
05
2166441
LA
Enumeration date
10/18/2011
Last updated
06/18/2020
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