Individual
MS. MISTY MELERINE BREAKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
56 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 246-5670
(985) 246-5667
Mailing address
56 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 246-5670
(985) 246-5667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200060.RX
LA
Other
Enumeration date
10/10/2005
Last updated
10/02/2024
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