Individual
ADARIAN SHAWNTELL BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1017 SAINT JOHN ST STE C, LAFAYETTE, LA 70501-6711
(337) 261-2300
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
03/22/2020
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