MR. Wyatt Daniel Breaux

NPI #1629542436 in Rayne, Louisiana

Provider Information

NPI Number
1629542436
Entity Type
Individual
Name
MR. Wyatt Daniel Breaux
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 15, 2019
Last Updated
Jan 15, 2019

Practice Location

Address
1510 SELLERS RD
City
Rayne
ZIP Code
70578-2628
Phone
(337) 658-6511

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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