TRACEE CHAVAWN SHORT

BATON ROUGE, LA
NPI1780813311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: AR  E-6871)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-07-02
Last Update Date2014-09-23
Business Address
-- TRACEE CHAVAWN SHORT MD
3401 NORTH BLVD STE 200-B
BATON ROUGE, LA 70806-3743
Phone number: 225-381-2615
Mailing Address
-- TRACEE CHAVAWN SHORT MD
8490 PICARDY AVE BLDG 200
BATON ROUGE, LA 70809-3731
Phone number: 225-237-1754
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