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Individual

MRS. MARCIA HIRSCH BREWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
15790 PAUL VEGA MD DR, FINANCE DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-6534
(985) 230-6653
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6534
(985) 230-6653

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP01235
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1986640
LA
Enumeration date
10/23/2006
Last updated
04/29/2008
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