Individual
CHASSIDY DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S UNION ST, OPELOUSAS, LA 70570-5972
(337) 305-4852
Mailing address
204 SAINT PAUL AVE, OPELOUSAS, LA 70570-1728
(337) 305-4852
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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