Individual
GARRETT ANTHONY BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11408 LAKE SHERWOOD AVE N SUITE A, BATON ROUGE, LA 70816
(225) 261-7143
Mailing address
11408 LAKE SHERWOOD AVE N SUITE A, BATON ROUGE, LA 70816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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