Individual
MR. BRIAN KEITH SANFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 BRADY ST, BATON ROUGE, LA 70805-8108
(225) 368-7476
Mailing address
2820 BRADY ST, BATON ROUGE, LA 70805-8108
(225) 368-7476
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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