Individual
BRENDA CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 COMMON ST, NEW ORLEANS, LA 70112-2401
(504) 302-1323
(504) 324-4573
Mailing address
1010 COMMON ST, NEW ORLEANS, LA 70112-2401
(504) 302-1323
(504) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
811428
LA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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