ANTHONY BAHAM

WALKER, LA
NPI1508491283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  306002)
Enumeration Date2020-03-03
Last Update Date2020-03-03
Business Address
ANTHONY BAHAM
9677 FLORIDA BLVD
WALKER, LA 70785-7205
Phone number: 225-664-4825
Mailing Address
ANTHONY BAHAM
50296 RIVERS RD
TICKFAW, LA 70466-6017
Phone number: 985-981-9697
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