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Individual

MS. BRENDA J PRIMEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLS-G

Contact information

Practice address
18399 JOHNNY B HALL MEMORIAL HWY, ROSEPINE, LA 70659
(337) 463-7535
(337) 202-1897
Mailing address
P.O. BOX 1452, 18399 JOHNNY B HALL MEMORIAL HWY, ROSEPINE, LA 70659
(337) 463-7535
(337) 202-1897

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
CLP.G00723-GEN
LA

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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