Organization
BIOACTIVE INFUSION & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GATTE FNPC (CO-OWNER)
(337) 581-7009
Entity
Organization
Contact information
Practice address
100 W LOUISIANA AVE, RAYNE, LA 70578-5912
(337) 581-7009
Mailing address
100 W LOUISIANA AVE, RAYNE, LA 70578-5912
(337) 581-7009
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
06/16/2022
Last updated
12/26/2023
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