Individual
ASHLEY THIBODEAUX ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
99 W MARTIAL AVE, LAFAYETTE, LA 70508-6583
(337) 234-5344
Mailing address
646 BRAQUET RD, CARENCRO, LA 70520-5144
(337) 230-5119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305568
LA
Other
Enumeration date
06/26/2017
Last updated
05/21/2019
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