Individual
BETHANY ARDOIN VERRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1530 E MCNEESE ST STE 1, LAKE CHARLES, LA 70607-4784
(337) 564-5322
Mailing address
1917 PLANTATION DR, LAKE CHARLES, LA 70605-5265
(337) 526-8547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
306455
LA
363A00000X
Physician Assistant
PA12054
TX
Other
Enumeration date
09/11/2017
Last updated
10/19/2023
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