Individual
JAMAL BREAUX SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 BELLE TERRE BLVD, LA PLACE, LA 70068-1715
(985) 652-0078
Mailing address
1937 JASPER LN APT B, LAPLACE, LA 70068
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/28/2018
Last updated
01/28/2019
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