BLAKE MCCULLOUGH WILLIAMS

DERIDDER, LA
NPI1396363438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: LA  214331)
Enumeration Date2020-07-06
Last Update Date2020-07-06
Business Address
BLAKE MCCULLOUGH WILLIAMS FNP
1017 N PINE ST
DERIDDER, LA 70634-2817
Phone number: 337-202-4101
Mailing Address
BLAKE MCCULLOUGH WILLIAMS FNP
335 CARTER RD
DRY CREEK, LA 70637-5029
Phone number: 318-308-4063