Individual
JARVIS TRAMON BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16366 BEECH ST, PRAIRIEVILLE, LA 70769-5900
(504) 512-8697
Mailing address
16366 BEECH ST, PRAIRIEVILLE, LA 70769-5900
(504) 512-8697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011308
VA
235Z00000X
Speech-Language Pathologist
7758
LA
Other
Enumeration date
07/19/2022
Last updated
04/18/2024
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