Individual
BIANCA THERESA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14635 S HARRELLS FERRY RD STE 3A, BATON ROUGE, LA 70816-2960
(225) 349-8984
Mailing address
1933 S BRIGHTSIDE VIEW DR APT C, BATON ROUGE, LA 70820-4738
(513) 332-6115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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