Individual
BRIAN C PRIMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5610 BUNCOMBE RD, APT. 1011, SHREVEPORT, LA 71129-2697
(337) 852-6386
Mailing address
5610 BUNCOMBE RD, APT. 1011, SHREVEPORT, LA 71129-2697
(337) 852-6386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
46416
LA
Other
Enumeration date
02/28/2013
Last updated
05/27/2013
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