Individual
MS. GWENDOLYN BARZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
2245 MANHATTAN BLVD, SUITE 120, HARVEY, LA 70058-3580
(504) 368-5937
(504) 366-0718
Mailing address
2245 MANHATTAN BLVD, SUITE 120, HARVEY, LA 70058-3580
(504) 368-5937
(504) 366-0718
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
12053
LA
305R00000X
Preferred Provider Organization
12054
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56-2497257
—
LA
Enumeration date
04/10/2007
Last updated
10/05/2010
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