Individual
ARIEL MARGAURITE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
Mailing address
1393 BIG WOODS STARKS RD, VINTON, LA 70668-5205
(337) 853-2329
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200261
LA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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