RYAN H COLLURA

LAFAYETTE, LA
NPI1053304485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.J00340)
Enumeration Date2005-08-31
Last Update Date2007-07-08
Business Address
Mr. RYAN H COLLURA L.A.T.
128 E BUTCHER SWITCH RD
LAFAYETTE, LA 70507-3528
Phone number: 337-233-8080
Mailing Address
Mr. RYAN H COLLURA L.A.T.
100 WINCHESTER DR 608
LAFAYETTE, LA 70506-6096
Phone number: 337-988-6602