Individual
OLIVIA BREELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1683
(985) 230-6652
Mailing address
2014 IDAHO AVE, KENNER, LA 70062-5816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230501
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2020
Last updated
06/01/2023
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