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Individual

RACHEL DENITA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
196 HIGHWAY 3175 BYP, NATCHITOCHES, LA 71457-9108
(318) 352-0279
(318) 352-5955
Mailing address
100 MARIA LN APT V1, NATCHITOCHES, LA 71457-3389
(318) 888-1591

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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