Individual
MISS BROOKE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5408 FLANDERS DR, BATON ROUGE, LA 70808-9168
(225) 769-5554
(225) 761-3334
Mailing address
5408 FLANDERS DR, BATON ROUGE, LA 70808-9168
(225) 769-5554
(225) 761-3334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APPLYING
LA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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