Individual
MARINA BRYNN DOUCET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13770 LA 77, MARINGOUIN, LA 70757
(225) 385-2668
Mailing address
124 SMITH ST, LAFAYETTE, LA 70503-2012
(337) 962-0395
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
08/08/2024
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