Individual
JEFFREY JOHN TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6703 AMBASSADOR CAFFERY PKWY # B, BROUSSARD, LA 70518-5283
(337) 948-1766
Mailing address
1701 S FIELDSPAN RD, DUSON, LA 70529-3711
(337) 254-7868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310714
LA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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