Individual
CHRISTIE MARIE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 GENERAL LEE AVE, BATON ROUGE, LA 70810-6366
(504) 729-9588
Mailing address
2121 GENERAL LEE AVE, BATON ROUGE, LA 70810-6366
(504) 729-9588
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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