Individual provider · NPI-1

Julissa Braimoh, MD

Family Medicine · Opelousas, LA

NPI number1841752250
StatusActive
Last updated in NPPESSep 12, 2023

Details

NPI
1841752250
Entity type
Individual (NPI-1)
Name
Julissa Braimoh
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2019
Certification date
Sep 12, 2023
Last updated
Sep 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine338497LAYes
207Q00000X Family Medicine036161456IL

Other names

  • Julissa Placencio (Former Name)

Practice location

1270 Attakapas Dr Ste 102
Opelousas, LA 70570-6549

Phone 337-678-4862

Mailing address

Po Box 2118
Opelousas, LA 70571-2118

Phone 347-885-2975

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