Individual
MS. EVA DOLORES BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1995 GENTILLY BLVD, NEW ORLEANS, LA 70119-1700
(504) 944-0453
(504) 944-0417
Mailing address
18 DONALD CT, METAIRIE, LA 70003-3842
(504) 342-7510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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