Individual
SARAH ELISE JOUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 E GROLEE ST, OPELOUSAS, LA 70570-6227
(337) 308-0730
Mailing address
538 E GROLEE ST, OPELOUSAS, LA 70570-6227
(337) 308-0730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OGS200779104
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/22/2019
Last updated
07/22/2019
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