Individual
JADE GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9109 ORMOND PL, RIVER RIDGE, LA 70123-2625
(504) 920-1599
Mailing address
9109 ORMOND PL, RIVER RIDGE, LA 70123-2625
(504) 920-1599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7055
LA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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