Organization
B R FAMILY HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARITA DAVIS ACKLIN (OWNER)
(225) 928-5358
Entity
Organization
Contact information
Practice address
2156 WOODDALE BLVD, 140, BATON ROUGE, LA 70806-1403
(225) 928-5358
(225) 928-5363
Mailing address
2156 WOODDALE BLVD, 140, BATON ROUGE, LA 70806-1403
(225) 928-5358
(225) 928-5363
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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