person
Tammy Ledet Guillory, HAIRLOSSSPECIALIST
Prosthetics Case Management in Lake Charles, Louisiana
NPI 1639634686

Tammy Ledet Guillory is a Prosthetics Case Management based in Lake Charles, LA and is specialized in Prosthetics Case Management. Tammy Ledet Guillory practices in Lake Charles, LA and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Tammy Ledet Guillory is 1639634686 and holds a License No. L440541002 (Louisiana).

The current practice location address for Tammy Ledet Guillory is 1323 12Th St, Lake Charles, LA and can be reached out via phone at 337-240-8454. You can also correspond with Tammy Ledet Guillory through the mailing address at 1323 12TH ST, LAKE CHARLES, LA - 70601-6377 (mailing address contact number: 337-240-8454).

Location: 1323 12Th St, Lake Charles, LA, 70601-6377
person
Provider Profile Details
NPI Number
1639634686
Provider Name
Tammy Ledet Guillory
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
1323 12Th St, Lake Charles, LA, 70601-6377
Phone Number
337-240-8454
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1744P3200X 01 LA CERTIFIED HAIR LOSS SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1323 12Th St
City
State
Zip
70601-6377
Phone Number
337-240-8454
Fax Number
person
Provider Business Mailing Address Details
Address
1323 12Th St
City
State
Zip
70601-6377
Phone Number
337-240-8454
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
L440541002 (Louisiana)
Definition
Definition to come...
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