Individual
MISS HARLEY ELIZABETH BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 EAST FIRST STREET, THIBODAUX, LA 70310-7311
(985) 448-4837
Mailing address
112 MAPLE LN, THIBODAUX, LA 70301-7311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
03/17/2018
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