Individual
QUINN ALLEN QUEBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1402 W 8TH ST, KAPLAN, LA 70548-2918
(337) 285-6033
Mailing address
12736 CRANE RD, KAPLAN, LA 70548-7001
(337) 652-0354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019023776
MO
207Q00000X
Family Medicine Physician
Primary
332738
LA
Other
Enumeration date
07/19/2019
Last updated
08/03/2022
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