Individual
IAN BRENNER SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4747 EARHART BLVD STE D, NEW ORLEANS, LA 70125-1747
(619) 504-7862
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 929-9783
(225) 939-9740
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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