RAVEN BOUTTE

LAFAYETTE, LA
NPI1982374187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZC0006X Pathology, Clinical Pathology
(Licence: LA  1003007)
Enumeration Date2021-09-18
Last Update Date2021-09-18
Business Address
RAVEN BOUTTE
4510 AMBASSADOR CAFFERY PKWAY
LAFAYETTE, LA 70508
Phone number: 337-458-3835
Mailing Address
RAVEN BOUTTE
100 MCDONALD ST APT D17
LAFAYETTE, LA 70506
Phone number: 337-458-3835
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