Individual
KEBRINA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4780 I 55 N STE 116, JACKSON, MS 39211-6067
(504) 509-0924
Mailing address
3801 CHRISWOOD LN, HARVEY, LA 70058-2006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30002709
LA
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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