GABRIELLE MIRE BLACK

MAURICE, LA
NPI1881560829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  348969)
Enumeration Date2025-10-16
Last Update Date2025-10-16
Business Address
GABRIELLE MIRE BLACK PA
4402 U S HIGHWAY 167
MAURICE, LA 70555-3708
Phone number: 337-516-3110
Mailing Address
GABRIELLE MIRE BLACK PA
3420 KIRK RD
MAURICE, LA 70555-3417
Phone number: