Individual
TIFFANY ANN BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8604 US HIGHWAY 61, SAINT FRANCISVILLE, LA 70775-6672
(225) 635-4561
Mailing address
446 LEMON B RD, SLAUGHTER, LA 70777-3603
(985) 247-3275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
309228
LA
Other
Enumeration date
06/19/2018
Last updated
02/22/2022
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