Individual
MADISON HAILEY FLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
Mailing address
8300 CONSTANTIN BLVD FL 2, BATON ROUGE, LA 70809-3489
(225) 374-1317
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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