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Individual

BRENDA THOMASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3510 MAGNOLIA CV, MONROE, LA 71203-2372
(318) 323-1100
(318) 323-1161
Mailing address
3801 DEBORAH DR, MONROE, LA 71201-2111
(318) 323-5688

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1442399
TDK AMC GROUP AID PROVIDE
LA
05
1664821
LA
Enumeration date
06/25/2007
Last updated
07/08/2007
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