Individual
GWENDOLYN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 MAGELLAN ST, GRETNA, LA 70053-2035
(504) 399-4247
Mailing address
720 MAGELLAN ST, GRETNA, LA 70053-2035
(504) 366-4247
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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