Individual
KRISTINA BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1211 COOLIDGE BLVD # 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
Mailing address
PO BOX 223, MILTON, LA 70558-0223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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