Individual
LACRESHA GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 W VIRGINIA ST, BEAUMONT, TX 77705-4617
(254) 248-8265
Mailing address
2275 W VIRGINIA ST, BEAUMONT, TX 77705-4617
(254) 248-8265
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
--
TX
Other
Enumeration date
07/12/2023
Last updated
09/20/2023
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