Individual
MRS. EMILY GAUTHIER WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9127
Mailing address
306 BALD EAGLE DR, LAFAYETTE, LA 70508-1845
(337) 962-7182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200429
LA
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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