Individual
MRS. AMY GUIDRY ROUGELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 ST CHARLES AVE, NEW ORLEANS, LA 70130
(504) 529-6600
(504) 529-6769
Mailing address
PO BOX 8770, METAIRIE, LA 70011-8770
(504) 529-6600
(504) 529-6769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200561
LA
Other
Enumeration date
10/26/2012
Last updated
11/08/2013
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