Louisiana
Board of Licensing
Wallace Gia Vince
Medical
License number
CLP.202079-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
6300 Main Street, Zachary, LA 70791
louisianalicensing.com
ID 21817921
LAST UPDATED 2026-05-22 08:31:11 UTC
LAST UPDATED 2026-05-22 08:31:11 UTC