Individual
MISS LATAUNYA RENEE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 RAVIER LN, SUNSHINE, LA 70780-3518
(225) 253-0513
Mailing address
1715 RAVIER LN, SUNSHINE, LA 70780-3518
(225) 253-0513
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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