Individual
STACEY MARIE DEMONBREUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 BROWN THRASHER LOOP S, MADISONVILLE, LA 70447-3033
(850) 510-1798
Mailing address
312 BROWN THRASHER LOOP S, MADISONVILLE, LA 70447-3033
(850) 510-1798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218595
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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