Poulan, Glenda Gravouilla

Poulan, Glenda Gravouilla is an sole proprietor health care provider with primary practice located at 330 Guilbeau Rd , Lafayette LA 70506. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Poulan, Glenda Gravouilla can be contacted via phone (372) 475-2473.

Contact Information

Primary practice address
330 Guilbeau Rd Lafayette LA 70506
Phone: (372) 475-2473
Fax: (214) 602-4526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1447742473
LBN Legal business name Poulan, Glenda Gravouilla
Credentials LRST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2018
Last updated Jun 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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