Individual
ANNE BOUDREAUX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E 6TH ST, THIBODAUX, LA 70301-3426
(985) 449-7529
Mailing address
200 E 6TH ST, THIBODAUX, LA 70301-3426
(985) 449-7529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22211
LA
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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