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Individual

GWENN HORTENSE REEVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16441 S HARRELLS FERRY RD APT 5505, BATON ROUGE, LA 70816-7537
(504) 421-3038
Mailing address
16441 S HARRELLS FERRY RD APT 5505, BATON ROUGE, LA 70816-7537
(504) 421-3038

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/17/2026
Last updated
06/17/2026
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