TATE AUCOIN

THIBODAUX, LA
NPI1073057048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-12-11
Last Update Date2016-12-11
Business Address
-- TATE AUCOIN
2553 HIGHWAY 1
THIBODAUX, LA 70301-5844
Phone number: 985-647-2333
Mailing Address
-- TATE AUCOIN
2553 HIGHWAY 1
THIBODAUX, LA 70301-5844
Phone number: