Individual
MENDY WILTSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 LOOP RD, #A, WINNSBORO, LA 71295-3344
(318) 435-6363
(318) 435-4646
Mailing address
PO BOX 283, BASKIN, LA 71219-0283
(318) 439-0365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0613348
LA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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