Individual
MS. PAMELA KNIGHT GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
PO BOX 91705, LAKE CHARLES, LA 70609-0001
(337) 477-0248
Mailing address
111 MALLARD ST, LAKE CHARLES, LA 70605-6515
(337) 474-0349
(337) 477-8964
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00135
LA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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