Individual
DANIELLE R ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CPHT
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
008432
LA
2255A2300X
Athletic Trainer
Primary
200325
LA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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