Glenda Gravouilla Poulan, LRST
Glenda Gravouilla Poulan, LRST is a Driver in Lafayette, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
330 Guilbeau RdLafayette, LA 70506
Phone: (372) 475-2473
Fax: (214) 602-4526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1447742473 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LRST |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2018 |
| Last updated in NPPES | June 13, 2018 |
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