Individual
BIANCA DOMINIQUE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32141 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-6420
(225) 456-4448
Mailing address
32141 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-6420
(225) 456-4448
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
01/25/2021
Last updated
01/25/2021
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