COLBY RYAN THIBODEAUX

LAKE CHARLES, LA
NPI1912539115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  211814)
Enumeration Date2020-02-06
Last Update Date2022-04-28
Business Address
Mr. COLBY RYAN THIBODEAUX FNP
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605-4183
Phone number: 337-480-7942
Mailing Address
Mr. COLBY RYAN THIBODEAUX FNP
PO BOX 122165 DEPT 2165
DALLAS, TX 75312-2162
Phone number: 337-494-2921
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