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Individual

MISS TRINA ARLEEN GILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT, CHW

Contact information

Practice address
820 MCKINLEY ST, WESTLAKE, LA 70669-5393
(337) 433-4692
(337) 494-0303
Mailing address
447 GENE STANLEY RD, RAGLEY, LA 70657-6322
(337) 348-2125
(337) 494-0303

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
183700000X
Pharmacy Technician
CPT.002804
LA

Other

Enumeration date
06/28/2024
Last updated
08/13/2024
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