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Renee Gardebled
NPI 1477954766 · on the registry since 2014
Practice
- Address
- 880 N Highway 190
Covington, LA 70433 - Phone
- (985) 893-9918
- Organisation at this address
- Mark Siverd Od Llc
Earl J Primo Ms Od Llc
Wal-Mart Stores East Lp
Wal-Mart Stores Louisiana, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-06
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