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Individual

DR. CLAUDETTE SMITH-BOUDREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
315 N BROADWAY ST, CHURCH POINT, LA 70525-2914
(337) 684-0018
(337) 684-0715
Mailing address
315 N BROADWAY ST, CHURCH POINT, LA 70525-2914
(337) 684-0018
(337) 684-0715

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1626-659AT
LA
152W00000X
Optometrist
Primary
1626-659T
LA
152W00000X
Optometrist
7721T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2308203
LA
Enumeration date
07/08/2011
Last updated
12/29/2014
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