GINA THIBODEAUX

BRONX, NY
NPI1952760548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  f307578-1)
Enumeration Date2016-02-11
Last Update Date2016-02-11
Business Address
-- GINA THIBODEAUX AGNP
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5820
Mailing Address
-- GINA THIBODEAUX AGNP
1746 N ORANGE DR APT 615
LOS ANGELES, CA 90028-4362
Phone number: 504-858-3505
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