Individual
BRANDON BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 POYDRAS ST STE 900, NEW ORLEANS, LA 70112-1282
(504) 648-6700
Mailing address
1615 POYDRAS ST STE 900, NEW ORLEANS, LA 70112-1282
(504) 648-6700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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