Individual
MARY G BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST-CFA
Contact information
Practice address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
Mailing address
190 TEXAS ST, RACELAND, LA 70394-2942
(985) 537-4665
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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