Individual
GERZALLE A BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SAINT BERNARD AVE STE B, NEW ORLEANS, LA 70116-1329
(504) 603-2389
(504) 609-3366
Mailing address
992 WINDSOR ST, LA PLACE, LA 70068-5246
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008839330
DRIVER'S LICENSE
LA
Enumeration date
07/06/2018
Last updated
07/06/2018
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