Individual
ALEXANDRA ST. ANGELO BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305960
LA
Other
Enumeration date
06/23/2017
Last updated
02/11/2020
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