Individual
WILMA GROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 NORTH CANAL BLVD, THIBODAUX, LA 70301-2988
(225) 265-6068
Mailing address
13246 DESIRE ST, VACHERIE, LA 70090-4328
(225) 773-6581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
09/29/2022
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