Individual
GINA MARIE GENOVESE MELERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(985) 285-8302
Mailing address
40145 TAYLORS TRL APT 700, SLIDELL, LA 70461-5385
(985) 285-8302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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