| Adrienne Pizza Brink Llc | |
|
2836 Front St Slidell LA 70458-4334 | |
| (985) 285-8081 | |
| Not Available |
| Full Name | Adrienne Pizza Brink Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2836 Front St, Slidell, Louisiana |
| Authorized Official Name and Position | Adrienne Pizza Brink (OWNER/MANAGER) |
| Authorized Official Contact | 9852858081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne Pizza Brink Llc 1444 7th St Slidell LA 70458-2849 Ph: (985) 285-8081 | Adrienne Pizza Brink Llc 2836 Front St Slidell LA 70458-4334 Ph: (985) 285-8081 |
| NPI Number | 1710236864 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710236864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4495 (Louisiana) | Primary |
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