Individual
MISS GRACE ELIZABETH DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29805 AMVETS RD, ALBANY, LA 70711-4218
(985) 974-6963
Mailing address
29805 AMVETS RD, ALBANY, LA 70711-4218
(985) 974-6963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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