TYLER TRAHAN

THIBODAUX, LA
NPI1447602305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200372)
Enumeration Date2016-07-05
Last Update Date2016-07-05
Business Address
-- TYLER TRAHAN LAT, ATC
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 985-448-4837
Mailing Address
-- TYLER TRAHAN LAT, ATC
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number:
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