NPI 1134517279

Stacey Brown

Practitioner Contractor Metairie, LA

Practice location

Address: 433 Metairie Rd 106, Metairie, LA 70005-4333
Phone: (504) 835-7554

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7782 (LA)

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Registry record

NPI: 1134517279
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2014
Record last updated: 23 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.