Individual
ELLA C CROCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
(337) 258-1771
Mailing address
PO BOX 52193, LAFAYETTE, LA 70505-2193
(337) 258-1771
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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