Individual
DESIRAY EAGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 RICHARD STREET, BREAUX BRIDGE, LA 70517
(337) 332-1810
(337) 332-3300
Mailing address
402 RICHARD STREET, BREAUX BRIDGE, LA 70517-5917
(337) 486-8415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/16/2017
Last updated
02/09/2024
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