Individual
CASSIE RODRIGUEZ GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4864 REBELLE LN, PORT ALLEN, LA 70767-4218
(985) 438-0697
Mailing address
4864 REBELLE LN, PORT ALLEN, LA 70767-4218
(985) 438-0697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200283
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1893811
—
LA
Enumeration date
06/30/2009
Last updated
12/05/2014
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