Individual provider · NPI-1
Braylin Breaux
Case Manager/Care Coordinator · Crowley, LA
NPI number1639615222
StatusActive
Last updated in NPPESJan 6, 2017
Details
- NPI
- 1639615222
- Entity type
- Individual (NPI-1)
- Name
- Braylin Breaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2017
- Last updated
- Jan 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
19157 Crowley Eunice HwyCrowley, LA 70526-0801
Phone 337-514-2101 · Fax 337-514-2105
Mailing address
19157 Crowley Eunice HwyCrowley, LA 70526-0801
Phone 337-514-2101 · Fax 337-514-2105
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