Individual
DEBORAH NICOLE ODUM BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8000 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1668
(504) 826-9500
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2449583
—
LA
Enumeration date
07/10/2017
Last updated
05/16/2019
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