Provider Demographics
NPI:1720862618
Name:TRAHAN, EMMA CATHERINE
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:CATHERINE
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 JEFFERSON DR BLDG H
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5713
Mailing Address - Country:US
Mailing Address - Phone:337-431-7194
Mailing Address - Fax:279-205-3136
Practice Address - Street 1:133 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5713
Practice Address - Country:US
Practice Address - Phone:337-431-7194
Practice Address - Fax:279-205-3136
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other