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Individual

ALICIA BRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
Mailing address
9001 SUMMA AVE, STE 346, BATON ROUGE, LA 70809-3726
(225) 769-3636
(225) 771-8047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303231
LA

Other

Enumeration date
08/26/2016
Last updated
02/05/2020
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