Gabriel Williams
Contractor in Lake Charles, LA. Individual provider (NPI-1).
NPI number1659797595
StatusActive
Last updated in NPPESMar 17, 2014
Details
- NPI
- 1659797595
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Williams
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2014
- Last updated
- Mar 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
1609 Orchid StLake Charles, LA 70601-7779
Phone 337-438-1645
Mailing address
1609 Orchid StLake Charles, LA 70601-7779
Phone 337-438-1645
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