Organization
BIG EASY ACUPUNCTURE & HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MICHAEL BRAUD JR. L.AC. (ACUPUNCTURTIST)
(504) 650-0027
Entity
Organization
Contact information
Practice address
4300 S I 10 SERVICE RD W STE 208, METAIRIE, LA 70001-7431
(504) 650-0027
Mailing address
3913 N I 10 SERVICE RD W APT 201, METAIRIE, LA 70002-6854
(504) 650-0027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
12/30/2020
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