Individual
ALEX ANGELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 CLINE DR, BREAUX BRIDGE, LA 70517-7625
(337) 303-4125
Mailing address
1400 REES ST STE D, BREAUX BRIDGE, LA 70517-4308
(337) 442-6077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200381
LA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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