Individual
VICKIE LYNN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 N AVENUE L, CROWLEY, LA 70526-3832
(337) 788-3330
Mailing address
PO BOX 34, COTTONPORT, LA 71327-0034
(318) 359-0342
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN109851
LA
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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