| NPI | 1770241507 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL WORK SITE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Contract Manager 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-05-09 |