Individual
ALTON JERMAINE GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 S UNION ST, OPELOUSAS, LA 70570-6029
(337) 678-4004
Mailing address
101 HARVEST SUGAR ROW, CARENCRO, LA 70520-6183
(337) 693-0159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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