Individual
COURTNEY MARIE DUFRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4993
Mailing address
1005 ETHEL ST, LOCKPORT, LA 70374-2831
(985) 258-9088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
343676
LA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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