ANNALISE HIMMEL

THIBODAUX, LA
NPI1043672439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  200309)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
-- ANNALISE HIMMEL LAT, ATC
602 N ACADIA DR
THIBODAUX, LA 70302
Phone number: 985-859-6413
Mailing Address
-- ANNALISE HIMMEL LAT, ATC
515 BACK PROJECT RD
SCHRIEVER, LA 70395
Phone number: