Individual
MR. BRADY JOHN CASTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 ECKART DR, NEW IBERIA, LA 70560-1413
(337) 789-1006
Mailing address
PO BOX 12846, NEW IBERIA, LA 70562-2846
(337) 789-1006
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
LA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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