SearchLouisiana246QM0706X

Ambrose Thibodeaux, MT

NPI 1538342431 · on the registry since 2007 · sole proprietor

Practice

Address
1015 Choctaw Dr
Opelousas, LA 70570
Phone
(337) 934-6453

Registry record

Primary taxonomy
246QM0706X
246QM0706X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-13

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