Individual
MR. BILLY WAYNE DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
38198 WILLOW LAKE EAST AVE, PRAIRIEVILLE, LA 70769-4176
(225) 802-1690
Mailing address
38198 WILLOW LAKE EAST AVE, PRAIRIEVILLE, LA 70769-4176
(225) 802-1690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN110936-AP06511
LA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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