Individual
MRS. BOITUMELO PELOKGALE KGOADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3021 VEROT SCHOOL ROAD, LAFAYETTE, LA 70508-8025
(337) 857-6178
(337) 857-6592
Mailing address
121 CRESTHILL DR, YOUNGSVILLE, LA 70592-5656
(337) 356-8835
(337) 857-6592
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01833F
LA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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