Individual
SNERICA NICKELBERRY-BRADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 GENERAL TAYLOR DR, BOSSIER CITY, LA 71112-4772
(601) 566-5441
Mailing address
2218 GENERAL TAYLOR DR, BOSSIER CITY, LA 71112-4772
(601) 566-5441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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