Individual
GABRIELLE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7153 MODESTO AVE, BATON ROUGE, LA 70811-4426
(225) 436-5286
Mailing address
7153 MODESTO AVE, BATON ROUGE, LA 70811-4426
(225) 436-5286
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
662324
—
LA
05
—
772324
—
LA
Enumeration date
02/07/2023
Last updated
02/07/2023
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