JEFFREY CHARLES FAUCHEUX

ZACHARY, LA
NPI1396389276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.J100120)
Enumeration Date2019-11-04
Last Update Date2019-11-04
Business Address
JEFFREY CHARLES FAUCHEUX ATC, LAT
20051 OLD SCENIC HWY APT 2204
ZACHARY, LA 70791-7381
Phone number: 225-933-1526
Mailing Address
JEFFREY CHARLES FAUCHEUX ATC, LAT
20051 OLD SCENIC HWY APT 2204
ZACHARY, LA 70791-7381
Phone number: 225-933-1526