Individual
VANITY GOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 BROLAND DR, DUSON, LA 70529-3767
(337) 278-8870
Mailing address
113 BROLAND DR, DUSON, LA 70529-3767
(337) 278-8870
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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