Organization · NPI-2

B R Family Health Clinic, LLC

Medical Genetics, Ph.D. Medical Genetics · Baton Rouge, LA

NPI number1700069747
StatusActive
Last updated in NPPESDec 13, 2007

Details

NPI
1700069747
Entity type
Organization (NPI-2)
Legal business name
B R Family Health Clinic, LLC
Organization subpart
No
Enumeration date
Dec 13, 2007
Last updated
Dec 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical Genetics––Yes

Practice location

2156 Wooddale Blvd
140
Baton Rouge, LA 70806-1403

Phone 225-928-5358 · Fax 225-928-5363

Mailing address

2156 Wooddale Blvd
140
Baton Rouge, LA 70806-1403

Phone 225-928-5358 · Fax 225-928-5363

Authorized official

Sharita Davis Acklin
Owner
2259285358

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