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Mr. Wyatt Daniel Breaux
Student in an Organized Health Care Education/Training Program in Rayne, Louisiana
NPI 1629542436

Wyatt Daniel Breaux is a Student in an Organized Health Care Education/Training Program based in Rayne, LA. Wyatt Daniel Breaux practices in Rayne, LA. The NPI Number for Wyatt Daniel Breaux is 1629542436 and holds a License No. (Louisiana).

The current practice location address for Wyatt Daniel Breaux is 1510 Sellers Rd, Rayne, LA and can be reached out via phone at 337-658-6511.

Location: 1510 Sellers Rd, Rayne, LA, 70578-2628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629542436
Provider Name
Wyatt Daniel Breaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
1510 Sellers Rd, Rayne, LA, 70578-2628
Phone Number
337-658-6511
Fax Number
Provider Enumeration Date
01/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1510 Sellers Rd
City
Rayne
State
Louisiana
Zip
70578-2628
Phone Number
337-658-6511
Fax Number
person
Provider Business Mailing Address Details
Address
1510 Sellers Rd
City
Rayne
State
Louisiana
Zip
70578-2628
Phone Number
337-658-6511
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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