BLAKE DALFERES

JEFFERSON, LA
NPI1023907888
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-06-28
Last Update Date2025-06-28
Business Address
BLAKE DALFERES
620 HONORE DR
JEFFERSON, LA 70121-1607
Phone number: 985-285-0675
Mailing Address
BLAKE DALFERES
620 HONORE DR
JEFFERSON, LA 70121-1607
Phone number: 985-285-0675