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Individual

MICHAEL-ANN BRYANT DELCAMBRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
2745 POINT DR, MONROE, LA 71201-2435
(318) 512-2798

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10570
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA.A10570
LOUISIANA MEDICAL LICENSE
LA
Enumeration date
08/11/2006
Last updated
11/16/2023
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