Organization · Type 2 NPI

My Food Coach

Health Service Clinic/Center · Lafayette, LA

NPI number 1255633228 Active

Practice location

412 Travis St, Office 121
Lafayette, LA 70503-2432

Call (337) 296-1628 Map

Fax (337) 442-6374

Mailing address

1011 Rue Bois De Chene
Breaux Bridge, LA 70517-6735

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X1909 (LA)

Health Service Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1255633228

My Food Coach's National Provider Identifier is 1255633228, issued on Nov 24, 2010. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lafayette, LA. The record was last updated on Nov 24, 2010.