Individual
MR. EDGAR C BICE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4820 HIGHWAY 1, RACELAND, LA 70394-2627
(985) 532-2413
Mailing address
245 LAKE DECADE CT, HOUMA, LA 70360-8332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH 200162
LA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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