Individual
JULISSA BRAIMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1270 ATTAKAPAS DR STE 102, OPELOUSAS, LA 70570-6549
(337) 678-4862
Mailing address
PO BOX 2118, OPELOUSAS, LA 70571-2118
(347) 885-2975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036161456
IL
207Q00000X
Family Medicine Physician
Primary
338497
LA
Other
Enumeration date
04/03/2019
Last updated
09/12/2023
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