Individual
MR. BYRON LEE BREWER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
405 TANGLEWOOD DR, SLIDELL, LA 70458-1756
(985) 649-3440
(985) 661-8554
Mailing address
312 CLEAR LAKE BLVD, COVINGTON, LA 70435-0276
(985) 249-5020
(985) 249-5092
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN097365
LA
Other
Enumeration date
11/07/2006
Last updated
07/18/2008
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