Organization
BIOACTIVE INFUSION & WELLNESS OF BATON ROUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BERTRAND GATTE FNP-C (CEO)
(888) 424-6228
Entity
Organization
Contact information
Practice address
7941 PICARDY AVE, BATON ROUGE, LA 70809-3536
(888) 424-6228
(888) 612-0595
Mailing address
100 W LOUISIANA AVE, RAYNE, LA 70578-5912
(888) 424-6228
(888) 612-0595
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
09/15/2023
Last updated
12/26/2023
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