Individual
BRIANISHA DAIJUAN LEIGHANN DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 N I-10 SERVICE RD W, METAIRIE, LA 70006
(877) 418-2978
Mailing address
2512 4TH ST, KENNER, LA 70062-7712
(504) 205-0186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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