Individual
CHRISTY BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 BARATARIA BLVD, MARRERO, LA 70072-5304
(504) 340-3592
(504) 340-3617
Mailing address
2564 BARATARIA BLVD, MARRERO, LA 70072-5304
(504) 340-3592
(504) 340-3617
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CPT012828
LA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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