Individual
JENNIFER KAY BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 CROWN LN, LAKE CHARLES, LA 70605-8135
(337) 274-9563
Mailing address
2761 CROWN LN, LAKE CHARLES, LA 70605-8135
(337) 274-9563
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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