CHAMP PHUPHANICH

THIBODAUX, LA
NPI1023765427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  224407)
Enumeration Date2022-03-04
Last Update Date2024-04-16
Business Address
CHAMP PHUPHANICH fnp
305 E 1ST ST
THIBODAUX, LA 70301-3341
Phone number: 985-228-6028
Mailing Address
CHAMP PHUPHANICH fnp
305 E 1ST ST
THIBODAUX, LA 70301-3341
Phone number:
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