Individual
RYAN GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2810 BONIN RD, YOUNGSVILLE, LA 70592-5600
(337) 857-5765
Mailing address
139 BROLAND DR, DUSON, LA 70529-3767
(337) 581-2524
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
21160
LA
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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