Individual
JAYLA ELIZABETH BRIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 STATE AVE, MARYSVILLE, WA 98271-8585
(678) 977-4958
Mailing address
12115 STATE AVE, MARYSVILLE, WA 98271-8585
(678) 977-4958
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
061987681
GA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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