Individual
NATHAN QUEBEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, LAT
Contact information
Practice address
SLU 10309, HAMMOND, LA 70402-0001
(985) 549-2253
Mailing address
4 LAURA DR, APT C, HAMMOND, LA 70401-1002
(985) 549-5133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
300908
LA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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