Individual
MAUDE BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 RAINBOW WAY UNIT 392, FAYETTEVILLE, GA 30214-3994
(678) 770-0758
Mailing address
9396 FOREST KNOLL DR, JONESBORO, GA 30238-5722
(504) 462-3346
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/21/2025
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