Individual
AMANDA TRAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
(337) 475-0324
Mailing address
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22629872
LA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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