Individual
JENNIFER P BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4165
Mailing address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4165
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
135221
LA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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