Individual
CATHERINE BORDELON FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 ASBURY DR, MANDEVILLE, LA 70471-1844
(985) 635-5537
Mailing address
PO BOX 4897, COVINGTON, LA 70434-4897
(985) 287-1579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310651
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
03/07/2023
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