Healthcare Provider Details

I. General information

NPI: 1629396676
Provider Name (Legal Business Name): EMILIE DUHON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 CHARITY ST
ABBEVILLE LA
70510-4024
US

IV. Provider business mailing address

PO BOX 93514
LAFAYETTE LA
70509-3514
US

V. Phone/Fax

Practice location:
  • Phone: 337-893-4401
  • Fax: 337-893-4402
Mailing address:
  • Phone: 337-893-4401
  • Fax: 337-893-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: