Brenda Gail Melancon
Technician, Personal Care Attendant in Lafayette, LA. Individual provider (NPI-1).
NPI number1164066148
StatusActive
Last updated in NPPESNov 1, 2019
Details
- NPI
- 1164066148
- Entity type
- Individual (NPI-1)
- Name
- Brenda Gail Melancon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2019
- Last updated
- Nov 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
515 S College Rd Ste 100Lafayette, LA 70503-3346
Phone 337-269-1165 · Fax 337-235-1961
Mailing address
515 S College Rd Ste 100Lafayette, LA 70503-3346
Phone 337-269-1165 · Fax 337-235-1961
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