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Search › Louisiana › 172A00000X

Ibrahim Bourakba

NPI 1013419753 · on the registry since 2018 · sole proprietor

Practice

Address
1713 Wooddale Blvd Ste 30
Baton Rouge, LA 70806
Phone
(225) 421-1114
Fax
(833) 790-2013
Organisation at this address
Transaid Llc
Serenity & Grace Place
Faithful Home Foundation
Brothers Medical Transportation Inc
Golden Gates Healthcare Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana