Individual
TARVIA BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 MADELINE AVE, LAFAYETTE, LA 70501-3317
(337) 658-9754
Mailing address
629 MADELINE AVE, LAFAYETTE, LA 70501-3317
(337) 658-9754
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
012187110
LA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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