Individual
ILYANETTE MARIE BERNABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 620-2564
Mailing address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 620-2564
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OBHPSS1098
LA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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