Individual
DERREK CHEVEZ LATHON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 FIELD HOUSE DR., BATON ROUGE, LA 70802
(225) 715-8005
Mailing address
50 FILED HOUSE DR., BATON ROUGE, LA 70802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
011898409
LA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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