Individual
MR. DOUGLAS RAY WALDING III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26694 MITCHELL LN, LIVINGSTON, LA 70754-3002
(225) 788-8301
Mailing address
26694 MITCHELL LN, LIVINGSTON, LA 70754-3002
(225) 788-8301
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
212145
LA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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