Individual
MR. FREDERICK WAYNE BILLIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 W TUNNEL BLVD STE 330, HOUMA, LA 70360-2862
(985) 876-8630
Mailing address
1340 W TUNNEL BLVD STE 330, HOUMA, LA 70360-2862
(985) 876-8630
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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