CALVIN DALE VIDRINE

OPELOUSAS, LA
NPI1639122195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: LA  10041005)
Enumeration Date2006-05-18
Last Update Date2012-02-29
Business Address
Mr. CALVIN DALE VIDRINE CRA RJ RN
174 GRANT RD
OPELOUSAS, LA 70570-0720
Phone number: 337-594-9637
Mailing Address
Mr. CALVIN DALE VIDRINE CRA RJ RN
PO BOX 1939
OPELOUSAS, LA 70571-1939
Phone number: 337-942-1915