MR. WYATT DANIEL BREAUX NPI 1629542436

NPI Information

MR. Wyatt Daniel Breaux is a student in an organized health care education training program in Rayne, LA. The provider is 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. MR. Wyatt Daniel Breaux NPI is 1629542436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1510 SELLERS RD
RAYNE, LA
ZIP 70578-628
Phone: (337) 658-6511

The enumeration date for this NPI number is 1/15/2019 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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