Individual
ENDIA MIEOCHA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 RIDGELAKE DR STE 309, METAIRIE, LA 70002-4938
(504) 309-0259
(504) 309-2702
Mailing address
3100 RIDGELAKE DR STE 309, METAIRIE, LA 70002-4938
(504) 309-0259
(504) 309-2702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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