Individual
MS. LANESHIA BRUMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 HUTCHINSON ST, MANDEVILLE, LA 70448-4802
(985) 377-5861
Mailing address
536 HUTCHINSON ST, APT A, MANDEVILLE, LA 70448-4802
(985) 377-5861
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
011554906
LA
Other
Enumeration date
09/17/2013
Last updated
11/13/2015
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