Individual
NEECHI BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 446-2936
Mailing address
303 HICKORY ST, THIBODAUX, LA 70301-2011
(985) 446-2936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290797
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295246585
MERAKEY BEHAVIORAL HEALTH
—
Enumeration date
11/09/2018
Last updated
07/25/2019
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