Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | LEHP688 | LA |
NPI | 1144984675 |
---|---|
Provider Name | Dr. Cherry Lynn Guidry |
First Address | Jennings, LA 70546-3145 |
Second Address | Jennings, LA 70546-3145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2021 |
Last Update Date | 01/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LEHP688 | GEMA LICENSE (01) | LA |