Individual
KEMOSHIA BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2115 FITZENREITER RD, LAKE CHARLES, LA 70601-1139
(337) 439-0880
Mailing address
2115 FITZENREITER RD, LAKE CHARLES, LA 70601-1139
(337) 439-0880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08476
LA
Other
Enumeration date
03/08/2016
Last updated
01/08/2025
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