Individual
NICOLE DUFRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2313 INDIANA AVE, KENNER, LA 70062-5669
(504) 317-3995
Mailing address
2313 INDIANA AVE, KENNER, LA 70062-5669
(504) 317-3995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200057
LA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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