DOMINIQUE RICHARD

ZACHARY, LA
NPI1386013290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-09-21
Last Update Date2015-09-21
Business Address
-- DOMINIQUE RICHARD
3429 JERSEY DR
ZACHARY, LA 70791-4209
Phone number: 225-636-6367
Mailing Address
-- DOMINIQUE RICHARD
3429 JERSEY DR
ZACHARY, LA 70791-4209
Phone number:
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