Individual
AMIRA WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S COLLEGE RD STE 100, LAFAYETTE, LA 70503-3213
(337) 205-6073
Mailing address
1731 LAGNEAUX RD TRLR 17, LAFAYETTE, LA 70506-9243
(917) 769-7530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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