NPI 1104291640
Renee Thibodaux
Practice location
- Address
- 142 Laura Dr Suite D, Thibodaux, LA 70301-2988
- Phone
- (985) 446-4114
- Fax
- (985) 446-4112
- Mailing address
- 142 Laura Dr. STE. D, Thibodaux, LA 70301
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1104291640
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Dec 2015
- Record last updated
- 9 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.