Individual
TAMARA MARIE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRANSPORTAION
Contact information
Practice address
361 LAYMAN ST, AVONDALE, LA 70094-2561
(504) 516-5736
(504) 345-2928
Mailing address
361 LAYMAN ST, AVONDALE, LA 70094-2561
(504) 516-5736
(504) 345-2928
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
731556677
LA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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