SearchLouisiana171M00000X

Keyadda Brim

NPI 1891453197 · on the registry since 2021 · sole proprietor

Practice

Address
16092 Blue Bayou St
Ponchatoula, LA 70454
Phone
(985) 387-5420

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2021-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana