Individual
BRANDOL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 HIGHWAY71 NORTH, CAMPTI, LA 71411
(318) 652-4430
Mailing address
PO BOX 693, CAMPTI, LA 71411-0693
(318) 652-4430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/23/2015
Last updated
06/21/2018
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