Individual
QUANTIESHA REMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 BEREFORD DR, BATON ROUGE, LA 70809-2403
(225) 960-7684
Mailing address
520 WOODDALE BLVD APT 216, BATON ROUGE, LA 70806
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
BEHAVIORAL TECHNICIAN
—
Enumeration date
02/07/2018
Last updated
06/16/2018
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