Individual
MEGAN ALLYN BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 CROSSING NORTH ST, THIBODAUX, LA 70301-6839
(985) 232-9800
Mailing address
190 CROSSING NORTH ST, THIBODAUX, LA 70301-6839
(985) 232-9800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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