LILIANNA WALLACE

THIBODAUX, LA
NPI1548012198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-04-04
Last Update Date2026-08-20
Business Address
LILIANNA WALLACE MBA, LAT, ATC
906 E 1ST ST
THIBODAUX, LA 70301-6701
Phone number: 985-448-4805
Mailing Address
LILIANNA WALLACE MBA, LAT, ATC
906 E 1ST ST
THIBODAUX, LA 70301-6701
Phone number: