TRAVION TEQUILLA RENEE LABRANCH

EDGARD, LA
NPI1457230526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  280123)
Additional Taxonomies372500000X Chore Provider
Enumeration Date2025-09-02
Last Update Date2025-09-02
Business Address
TRAVION TEQUILLA RENEE LABRANCH
295 CASTLE DR
EDGARD, LA 70049-2523
Phone number: 504-360-3424
Mailing Address
TRAVION TEQUILLA RENEE LABRANCH
PO BOX 5
EDGARD, LA 70049-0005
Phone number: 504-360-3424