Individual provider · NPI-1

Devin Brocks

Community Health Worker · New Orleans, LA

NPI number1609323500
StatusActive
Last updated in NPPESSep 8, 2016

Details

NPI
1609323500
Entity type
Individual (NPI-1)
Name
Devin Brocks
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2016
Last updated
Sep 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1010 Common St
Suite 500
New Orleans, LA 70112-2401

Phone 504-302-1323

Mailing address

1010 Common St
Suite 500
New Orleans, LA 70112-2401

Phone 504-302-1323

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