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Individual

AMBER KROPOG BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 GARDENIA DR STE B, COVINGTON, LA 70433-9196
(985) 773-1660
(985) 773-1661
Mailing address
PO BOX 669379, DALLAS, TX 75266-9379
(985) 773-1660
(985) 773-1661

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
345855
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
345855
LICENSE
LA
Enumeration date
10/04/2019
Last updated
11/07/2025
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