Individual
MRS. DOMINIQUE GUILLORY CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 N. SIMMONS STREET, LAKE CHARLES, LA 70601
(337) 439-5363
Mailing address
1805 N. SIMMONS STREET, LAKE CHARLES, LA 70601
(337) 439-5363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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