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Amanda Thibodeaux
NPI 1184061970 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1000 Coolidge Blvd
Lafayette, LA 70503 - Phone
- (337) 289-0070
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana