BRENT DAVID BOUDREAUX

DUSON, LA
NPI1548477573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.J00109)
Enumeration Date2007-05-17
Last Update Date2021-01-10
Business Address
Mr. BRENT DAVID BOUDREAUX ATC
104 DENETTE DR
DUSON, LA 70529-3750
Phone number: 337-344-3400
Mailing Address
Mr. BRENT DAVID BOUDREAUX ATC
104 DENETTE DR
DUSON, LA 70529-3750
Phone number: 337-344-3400