Individual
TREVOR VOLLENWEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 W LAKEVIEW DR, LA PLACE, LA 70068-2426
(985) 210-8282
Mailing address
140 W LAKEVIEW DR, LA PLACE, LA 70068-2426
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000024185
LA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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