Individual
MR. CHARLES WESLEY BRISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LRTT
Contact information
Practice address
5745 PLAUCHE CT, SUITE 2, HARAHAN, LA 70123-4119
(504) 734-0334
(504) 733-0559
Mailing address
5745 PLAUCHE CT, SUITE 2, HARAHAN, LA 70123-4119
(504) 734-0334
(504) 733-0559
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LT2721
LA
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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