Individual
CHARLES SIBILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 STEVE ST, LAFAYETTE, LA 70503-6047
(337) 781-6959
Mailing address
101 STEVE ST, LAFAYETTE, LA 70503-6047
(337) 781-6959
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
05/03/2024
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