Individual
MRS. CHERYL GWYN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5454 CYPRESS ST, WEST MONROE, LA 71291-7508
(318) 397-4562
Mailing address
PO BOX 2235, WEST MONROE, LA 71294-2235
(318) 397-4562
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3612
LA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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