Individual
GABRIELLE DESCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 DRINKWATER RD, BAY SAINT LOUIS, MS 39520-1658
(228) 467-8600
Mailing address
149 DRINKWATER RD, BAY SAINT LOUIS, MS 39520-1658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902652
MS
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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