Individual
PEPPER MARIE BRASSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RVT-VT; RDMS-AB
Contact information
Practice address
218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
(337) 288-0736
(337) 892-1238
Mailing address
218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
(337) 288-0736
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
98098
LA
246X00000X
Cardiovascular Specialist/Technologist
98098
LA
246XC2903X
Vascular Specialist/Technologist Cardiovascular
98098
LA
246XS1301X
Sonography Specialist/Technologist Cardiovascular
98098
LA
2471S1302X
Sonography Radiologic Technologist
98098
LA
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
98098
LA
405300000X
Prevention Professional
98098
LA
Other
Enumeration date
10/05/2021
Last updated
11/29/2021
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