TOMMY BLANCHARD

RACELAND, LA
NPI1356797252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200176)
Enumeration Date2016-05-10
Last Update Date2016-05-10
Business Address
-- TOMMY BLANCHARD LAT, ATC
4820 HIGHWAY 1
RACELAND, LA 70394-2627
Phone number: 985-532-3319
Mailing Address
-- TOMMY BLANCHARD LAT, ATC
1934 HIGHWAY 654
GHEENS, LA 70355-2202
Phone number:
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