Individual
MR. FRANK RAYMOND DECARLO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(941) 224-1177
Mailing address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200501
LA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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