Individual
COLIN ROUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 N 2ND ST, AMITE, LA 70422-2123
(504) 231-2204
Mailing address
PO BOX 308, AMITE, LA 70422-0308
(504) 231-2204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/07/2022
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