Individual
MRS. MARY FRANCINE BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE S-450, MARRERO, LA 70072
(504) 349-6401
(504) 349-6444
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-450, MARRERO, LA 70072-3151
(504) 349-6423
(504) 349-6062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200046
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626490
—
LA
Enumeration date
08/04/2006
Last updated
11/14/2013
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