EMILY RENEE THIBODAUX

LAFAYETTE, LA
NPI1245666254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence:   200652)
Enumeration Date2013-09-23
Last Update Date2013-09-23
Business Address
MISS EMILY RENEE THIBODAUX P.A.-C
1103 KALISTE SALOOM RD SUITE 206
LAFAYETTE, LA 70508-5783
Phone number: 337-267-1319
Mailing Address
MISS EMILY RENEE THIBODAUX P.A.-C
1018 HIGHWAY 304
THIBODAUX, LA 70301-7331
Phone number: 985-414-0724