Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDEAUX GRANT
Active Sole ProprietorBRANDEAUX GRANT is a Bus healthcare provider located in MANDEVILLE, Louisiana. NPI 1629710793 is currently active in the NPPES registry. Verify at CMS.
Bus · MANDEVILLE, LA
Registration Details
- NPI Number
- 1629710793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2022 (4.3823944522498 yrs)
- Last Updated
- Apr 10, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 JACKSON AVEMANDEVILLE, LA, 704486018Browse LA providers · Browse ZIP 70448
- Phone
- 5047565728
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.