NPI 1013419753

Ibrahim Bourakba

Practitioner Driver Baton Rouge, LA

Practice location

Address: 1713 Wooddale Blvd STE 30, Baton Rouge, LA 70806-1570
Phone: (225) 421-1114
Fax: (833) 790-2013

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence A827745 (LA)

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Registry record

NPI: 1013419753
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2018
Record last updated: 7 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.