Individual
ASHIA BAZILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
(225) 223-6968
Mailing address
9145 W BALBOA DR, BATON ROUGE, LA 70810-2317
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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