Individual
JEREMY LYNN BRAZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 PRESCOTT RD STE 202, ALEXANDRIA, LA 71301-3983
(318) 442-0106
(318) 448-8918
Mailing address
3311 PRESCOTT RD STE 202, ALEXANDRIA, LA 71301-3983
(318) 442-0106
(318) 448-8918
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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