WADE GILLARD

LAKE CHARLES, LA
NPI1982223087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  212171)
Enumeration Date2020-04-09
Last Update Date2022-08-15
Business Address
WADE GILLARD FNP-C
4201 NELSON RD STE 100
LAKE CHARLES, LA 70605-4187
Phone number: 337-310-2273
Mailing Address
WADE GILLARD FNP-C
4201 NELSON RD STE 100
LAKE CHARLES, LA 70605-4187
Phone number: 337-310-2273
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