Organization
ADVANCED QUIKCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANNA GUILLORY NURSE PRACTITIONER (OWNER)
(337) 384-9219
Entity
Organization
Contact information
Practice address
816 CRESWELL LN, OPELOUSAS, LA 70570-5805
(337) 384-9219
Mailing address
177 PETITE RUE DE LANDON, OPELOUSAS, LA 70570
(337) 384-9219
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP07537
LA
Other
Enumeration date
06/19/2018
Last updated
02/16/2021
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