Individual
QUENTERRA BURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39097 DRIFTWOOD LAKE DR, GONZALES, LA 70737-6581
(985) 714-3696
Mailing address
39097 DRIFTWOOD LAKE DR, GONZALES, LA 70737-6581
(985) 714-3696
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
WEB45880668K
LA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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