Individual
TONETTE TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1936 DABNEY DR, BATON ROUGE, LA 70816-8628
(225) 268-3932
Mailing address
1936 DABNEY DR, BATON ROUGE, LA 70816-8628
(225) 268-3932
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1803667
—
LA
Enumeration date
03/02/2020
Last updated
03/02/2020
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