Individual
MRS. GEORGETTE BOUDREAUX GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNS FNP-C
Contact information
Practice address
376 MAIN ST, CANKTON, LA 70584
(337) 668-4141
(337) 668-4386
Mailing address
376 MAIN ST, CANKTON, LA 70584
(337) 668-4141
(337) 668-4386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP0474
LA
Other
Enumeration date
09/09/2005
Last updated
06/30/2008
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