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NPI Profile for JENNIFER P BREAUX in HAMMOND, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI # | 1124501168 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/14/2018 | |
| Last updated | 09/14/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER P BREAUX
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JENNIFER P BREAUX