Individual
MRS. NICOLE GAUDET BUUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 W HIGHWAY 30, GONZALES, LA 70737-5004
(225) 647-5098
Mailing address
14332 SOMMER LN, GONZALES, LA 70737-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200404
LA
Other
Enumeration date
12/15/2010
Last updated
07/31/2013
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