Mary Breaux Rodrigue, PA

NPI #1770917122 in Raceland, Louisiana

Provider Information

NPI Number: 1770917122
Entity Type: Individual
Name: Mary Breaux Rodrigue, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 21, 2013
Last Updated: May 20, 2016

Practice Location

Address: 4912 HIGHWAY 1
City: Raceland
State: Louisiana
ZIP Code: 70394-2559
Phone: (985) 532-2387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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