Raymond William Reimann Jr.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Avondale, LA

NPI 1780184432 · NPPES record last updated Feb 20, 2018

Key facts

NPI
1780184432
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
181 Becky Dr
Avondale, LA 70094-2807
Phone
(504) 312-3479
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

181 Becky Dr
Avondale, LA 70094-2807

Mailing address

181 Becky Dr
Avondale, LA 70094-2807
Phone (504) 312-3479

Other providers in Avondale, LA

All providers in Avondale, LA · Student in an Organized Health Care Education/Training Program in Louisiana

Sources for this page

Verify at the official NPI Registry.