Individual
BROOKE ALEXIS YACAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5646 READ BLVD STE 380, NEW ORLEANS, LA 70127-3148
(504) 518-5822
Mailing address
7031 WUERPEL ST, NEW ORLEANS, LA 70124-2349
(504) 655-4361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
342695
LA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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