BRENDA PROCTOR

OPELOUSAS, LA
NPI1790169928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP08457)
Enumeration Date2015-07-17
Last Update Date2016-01-20
Business Address
-- BRENDA PROCTOR
3975 I-49 FRONTAGE ROAD SUITE 105
OPELOUSAS, LA 70570-9999
Phone number: 337-594-0750
Mailing Address
-- BRENDA PROCTOR
46 LOUIS PRIMA DR STE A
COVINGTON, LA 70433-5903
Phone number: 985-892-7070
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