Individual
DANIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S LAKEPOINTE DR, LAFAYETTE, LA 70506-6440
(337) 458-2375
Mailing address
203 S LAKEPOINTE DR, LAFAYETTE, LA 70506-6440
(337) 458-2375
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
LA
Other
Enumeration date
06/26/2025
Last updated
06/28/2025
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