Individual
AMANDA DECOUX HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1039 CAMELLIA BLVD, LAFAYETTE, LA 70508-6679
(337) 237-0650
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Enumeration date
08/28/2018
Last updated
07/28/2026
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