Individual
DR. BRIGETTA DESIREE YANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1220 BARATARIA BLVD, MARRERO, LA 70072
(504) 340-6711
(504) 348-3935
Mailing address
PO BOX 1819, MARRERO, LA 70073-1813
(504) 340-6711
(504) 348-3935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552011
—
LA
Enumeration date
04/07/2006
Last updated
11/20/2009
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