Individual
CHIJIOKE UDOLISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3519 PATRICK ST, SUITE 262, LAKE CHARLES, LA 70605-1748
(337) 477-6500
(337) 477-8009
Mailing address
3519 PATRICK ST, SUITE 262, LAKE CHARLES, LA 70605-1748
(337) 477-6500
(337) 477-8009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6879829001
LA
Other
Enumeration date
06/16/2007
Last updated
07/08/2007
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