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ROLAND S. WAGUESPACK MD

Medical Equipment Supplier Yellow Pages

Vacherie, Louisiana

Provider NPI: 1215141098

Organization Information:
Organization Name:  ROLAND S. WAGUESPACK MD


Practice Location:
1108 SAINT JAMES ST  VACHERIE, LA 70090 US
Tel: 225-265-4087  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
LA009974

Other Provider Identifiers:

IssuerNumberStateType
1442224LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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