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Individual

TRACY MILLER BRAZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15837 PAUL VEGA DR STE 200, HAMMOND, LA 70403-1495
(985) 230-1882
(985) 230-1881
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1882
(985) 230-1881

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1100931
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2658
LICENSE
LA
Enumeration date
07/11/2017
Last updated
03/15/2026
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