Individual
MR. BRICE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2145 REVEREND RICHARD WILSON DR, KENNER, LA 70062-7661
(504) 472-0068
Mailing address
2145 REVEREND RICHARD WILSON DR, KENNER, LA 70062-7661
(504) 472-0068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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