SHAWN A BOUDREAUX

HAMMOND, LA
NPI1952807380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6841)
Enumeration Date2018-04-04
Last Update Date2019-08-23
Business Address
SHAWN A BOUDREAUX
1502 MARTENS DR
HAMMOND, LA 70401-1620
Phone number: 985-345-4242
Mailing Address
SHAWN A BOUDREAUX
218 THELMA DR
SUNSET, LA 70584-5430
Phone number: 337-308-2020