GAYLORD COLLINS

PINEVILLE, LA
NPI1144473224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence:   CP003397)
Enumeration Date2008-11-03
Last Update Date2008-11-03
Business Address
Mr. GAYLORD COLLINS CP
2495 SHREVEPORT HWY BLD 2 RM 242
PINEVILLE, LA 71306-9004
Phone number: 318-473-0010
Mailing Address
Mr. GAYLORD COLLINS CP
2114 SHREVEPORT HWY APT 275
PINEVILLE, LA 71360-2006
Phone number: 601-842-7780