TRACY B BOURG

HARVEY, LA
NPI1871744854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  1964)
Enumeration Date2008-10-08
Last Update Date2008-10-08
Business Address
-- TRACY B BOURG NP
3909 LAPALCO BLVD SUITE 100
HARVEY, LA 70058-2302
Phone number: 504-349-6900
Mailing Address
-- TRACY B BOURG NP
3909 LAPALCO BLVD SUITE 100
HARVEY, LA 70058-2302
Phone number: 504-349-6900