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Individual

BRITTANY WEAKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5922 W MAIN ST STE B-2, HOUMA, LA 70360-1715
(337) 417-9200
Mailing address
5750 JOHNSTON ST STE 502, LAFAYETTE, LA 70503-5334
(337) 417-9200
(337) 735-1919

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA708
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010537653
DRIVER'S LICENSE
LA
Enumeration date
05/04/2022
Last updated
05/04/2022
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