Individual
MITCH DOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
Mailing address
591 LONNIE JEANE LOOP, LEESVILLE, LA 71446-6936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
311352
LA
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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