Individual
BONNIE D TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11833 LA HWY 35, KAPLAN, LA 70548-6646
(337) 517-1473
Mailing address
11833 LA HWY 35, KAPLAN, LA 70548-6646
(337) 643-2085
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
TRICARE
LA
Enumeration date
09/22/2019
Last updated
09/22/2019
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