Individual
COREY BRIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11616 SOUTHFORK AVE STE 203, BATON ROUGE, LA 70816-5241
(225) 291-9718
Mailing address
947 DURNIN DR, DENHAM SPRINGS, LA 70726-4205
(225) 362-4445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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