Individual
BRAD COMEAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 JEREMY DR, OPELOUSAS, LA 70570-1191
(337) 594-4092
Mailing address
165 JEREMY DR, OPELOUSAS, LA 70570-1191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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