Individual
MS. LATRENDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 PAUL MAILLARD ROAD, LULING, LA 70070
(985) 206-6853
(985) 206-6857
Mailing address
203 PAUL MAILLARD ROAD, LULING, LA 70070
(985) 206-6853
(985) 206-6857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800817604
—
LA
Enumeration date
09/01/2016
Last updated
09/01/2016
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