Individual
OLIVIA BUQUOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15813 PAUL VEGA MD DR # 403, HAMMOND, LA 70403-1426
(985) 230-7350
Mailing address
276 COQUILLE LN, MADISONVILLE, LA 70447-3708
(985) 590-7817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
337626
LA
Other
Enumeration date
06/06/2023
Last updated
05/22/2024
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