RYAN TRAHAN

THIBODAUX, LA
NPI1003265810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200279)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
-- RYAN TRAHAN LAT,ATC
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 985-493-4502
Mailing Address
-- RYAN TRAHAN LAT,ATC
1748 RIDGEFIELD AVE
THIBODAUX, LA 70301-5302
Phone number:
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