Individual
JEFFREY CHARLES FAUCHEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
20051 OLD SCENIC HWY APT 2204, ZACHARY, LA 70791-7381
(225) 933-1526
Mailing address
20051 OLD SCENIC HWY APT 2204, ZACHARY, LA 70791-7381
(225) 933-1526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J100120
LA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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