Individual
BRIA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MAYDELL LN, LAFAYETTE, LA 70507-2607
(337) 739-3653
Mailing address
121 MAYDELL LN, LAFAYETTE, LA 70507-2607
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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