JASON ROBERT AUCOIN

MANDEVILLE, LA
NPI1134721277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200001)
Enumeration Date2020-11-13
Last Update Date2020-11-13
Business Address
JASON ROBERT AUCOIN ATC
1750 LOGAN LN
MANDEVILLE, LA 70448-7533
Phone number: 504-236-1163
Mailing Address
JASON ROBERT AUCOIN ATC
1750 LOGAN LN
MANDEVILLE, LA 70448-7533
Phone number: 504-236-1163