Individual
MRS. DEBRA INEZ WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.B.O.C. AMERICAN BO
Contact information
Practice address
1509 A. NORTH PINE STREET, DERIDDER, LA 70634-0000
(337) 463-9821
(337) 463-9821
Mailing address
1509 A. NORTH PINE STREET, DERIDDER, LA 70634-0000
(337) 463-9821
(337) 463-9821
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
ABO CERTIFIED 21999
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569178
—
LA
05
—
1619099231
—
LA
Enumeration date
04/04/2007
Last updated
12/29/2023
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