Individual
SHERRYL TWIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-3090
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-3090
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
300085
LA
Other
Enumeration date
10/05/2015
Last updated
11/04/2015
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