Individual
RAME ABUSSADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5916 JOHNSTON ST, LAFAYETTE, LA 70503-5643
(337) 988-7000
Mailing address
121 FAIRGROUNDS DR, LAFAYETTE, LA 70503-6200
(225) 288-5523
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7998758
LA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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