Individual
FREDRICK J BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 DEANNE MARIE DR, ZACHARY, LA 70791-2854
(225) 939-2154
Mailing address
6001 DEANNE MARIE DR, ZACHARY, LA 70791-2854
(225) 939-2154
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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