Individual
TANYA L GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 3RD ST, LAKE CHARLES, LA 70601-4723
(337) 853-8423
Mailing address
2001 3RD ST, LAKE CHARLES, LA 70601-4723
(337) 853-8423
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
10030284
LA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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