Organization
LE VERGER DE GURISON DE MA TANTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGETTE GUILLORY FNPC (OWNER)
(337) 344-5125
Entity
Organization
Contact information
Practice address
1811 DULLES DR, LAFAYETTE, LA 70506-3724
(337) 344-5125
Mailing address
1811 DULLES DR, LAFAYETTE, LA 70506-3724
(337) 344-5125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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