Individual
ABBY LYNNE GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40337 LELIA RD, GONZALES, LA 70737-6834
(225) 610-7128
Mailing address
40337 LELIA RD, GONZALES, LA 70737-6834
(225) 610-7128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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