Individual
GERTRUDE IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 HIGHWAY 171, STONEWALL, LA 71078
(318) 925-9094
Mailing address
1005 S MAIN ST, JEFFERSON, TX 75657-2425
(318) 925-9094
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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