Individual
GABRIEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 ORCHID ST, LAKE CHARLES, LA 70601-7779
(337) 438-1645
Mailing address
1609 ORCHID ST, LAKE CHARLES, LA 70601-7779
(337) 438-1645
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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