WYDRICK RENELL HARDING

THIBODAUX, LA
NPI1659961837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  302762)
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
WYDRICK RENELL HARDING ATC, LAT
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 985-447-5500
Mailing Address
WYDRICK RENELL HARDING ATC, LAT
635 BEACON DR
YOUNGSVILLE, LA 70592-5859
Phone number: 337-578-8310
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