BRANDON SHEA BLANCHARD

LAKE CHARLES, LA
NPI1518461706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  APO9872)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
BRANDON SHEA BLANCHARD FNP
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3036
Mailing Address
BRANDON SHEA BLANCHARD FNP
411 PISTOL DR
LAKE CHARLES, LA 70611-4747
Phone number: 337-302-4528
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