Individual
RAVEN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9960 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6457
(225) 768-7775
Mailing address
10632 TIMBERLANE AVE, BATON ROUGE, LA 70811-1760
(225) 284-4331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022330
LA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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