MR. Ambrose Carroll Thibodeaux JR., MT

NPI #1538342431 in Opelousas, Louisiana

Provider Information

NPI Number: 1538342431
Entity Type: Individual
Name: MR. Ambrose Carroll Thibodeaux JR., MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Pathology - Medical Technologist
Credential: MT
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 1015 CHOCTAW DR
City: Opelousas
State: Louisiana
ZIP Code: 70570-6567
Phone: (337) 934-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist	246QM0706X	Primary

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