Individual
MISS BRANDIE LYNNE JUDICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 304, LAFAYETTE, LA 70508-5783
(337) 988-5646
(337) 769-6423
Mailing address
1103 KALISTE SALOOM RD, SUITE 304, LAFAYETTE, LA 70508-5783
(337) 988-5646
(337) 769-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108436
LA
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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