Individual
ANGELIQUE VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
137 DANIELLE LN, WASHINGTON, LA 70589-4545
(337) 945-4412
Mailing address
137 DANIELLE LN, WASHINGTON, LA 70589-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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