Individual
KRISTASIA AUNTRANYCE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-9009
Mailing address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-9009
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
1758001925
LA
385H00000X
Respite Care
Primary
770641488
LA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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