Individual
MS. SABRINA ANNE THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
444 S 5TH ST, PONCHATOULA, LA 70454-2712
(985) 247-5859
Mailing address
444 S 5TH ST, PONCHATOULA, LA 70454-2712
(985) 247-5859
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
161604
LA
Other
Enumeration date
03/25/2019
Last updated
06/11/2019
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