Individual
MISS ABI GAYLE FESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2041 SPARTAN DR, MANDEVILLE, LA 70448-1966
(985) 705-0096
Mailing address
2041 SPARTAN DR, MANDEVILLE, LA 70448-1966
(985) 705-0096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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