Individual
EMILY BLAND MILAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
Mailing address
5381 CANATELLA ST, CONVENT, LA 70723-2101
(225) 331-0085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310460
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2483790
—
LA
Enumeration date
10/03/2018
Last updated
07/08/2019
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