Individual
MR. BENJAMEN DAVID MESSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SOUTHEASTERN LOUISIANA UNIVERSITY, HAMMOND, LA 70402-0001
(985) 549-2000
Mailing address
107 WESTMINSTER DR, SLIDELL, LA 70460-8409
(985) 285-5889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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