Individual
GABRIELLE PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S MAIN ST STE A, OPELOUSAS, LA 70570-6133
(337) 407-5060
Mailing address
115 S MAIN ST STE A, OPELOUSAS, LA 70570-6133
(337) 407-5060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011095932
—
LA
Enumeration date
08/27/2019
Last updated
08/27/2019
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