Individual
BRITTANY MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15212 SCHAFER AVE, BATON ROUGE, LA 70816-1378
(225) 588-5242
Mailing address
15212 SCHAFER AVE, BATON ROUGE, LA 70816-1378
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
12/04/2019
Last updated
12/04/2019
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