Individual
GERTRUDE GBOLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2524 S PHILIPPE AVE, GONZALES, LA 70737-3749
(225) 644-1990
(225) 644-3264
Mailing address
2524 S PHILIPPE AVE, GONZALES, LA 70737-3749
(225) 644-1990
(225) 644-3264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD202326
LA
Other
Enumeration date
05/25/2007
Last updated
05/26/2022
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