Jacob Sebastien Bordelon Valid NPI

Individual provider · Physician Assistant · Lafayette, LA

NPI

1912489279

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

310461 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2018-09-04

Last updated

2018-10-04