Individual
QUINN PATRICK BOURGEOIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5720 ST.ROCH AVE, NEW ORLEANS, LA 70122
(504) 382-8396
Mailing address
5720 ST.ROCH AVE, NEW ORLEANS, LA 70122
(504) 382-8396
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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