Individual
GRETA BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3434 HOUMA BLVD STE 300, METAIRIE, LA 70006-4279
(985) 974-8402
Mailing address
206 E 14TH AVE, COVINGTON, LA 70433-3764
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22155
LA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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