Patrick Esponge
Homemaker in Delcambre, LA. Individual provider (NPI-1).
NPI number1629628656
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1629628656
- Entity type
- Individual (NPI-1)
- Name
- Patrick Esponge
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2019
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
303 S Short StDelcambre, LA 70528-4509
Phone 337-224-2860
Mailing address
303 S Short StDelcambre, LA 70528-4509
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