Organization
AMENA HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANDERNIA BRAXTON (MEDICAL ASSISTANT)
(225) 687-2001
Entity
Organization
Contact information
Practice address
383 HELIOTROPE ST, PORT ALLEN, LA 70767-2841
(225) 921-6788
Mailing address
383 HELIOTROPE ST, PORT ALLEN, LA 70767-2841
(225) 921-6788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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