MELVIN WALLIS

HOUMA, LA
NPI1073273637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200141)
Enumeration Date2021-12-23
Last Update Date2021-12-23
Business Address
Mr. MELVIN WALLIS ATC
8166 MAIN ST
HOUMA, LA 70360-3404
Phone number: 985-873-4141
Mailing Address
Mr. MELVIN WALLIS ATC
8166 MAIN ST
HOUMA, LA 70360-3404
Phone number: 985-873-4141
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