Untracy Vanee Brittentine, | |
1875 Main St, Haynesville, LA 71038-4905 | |
(318) 268-6505 | |
Not Available |
Full Name | Untracy Vanee Brittentine |
---|---|
Gender | Female |
Speciality | Case Manager/care Coordinator |
Location | 1875 Main St, Haynesville, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083309025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 220623 (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Untracy Vanee Brittentine, 2121 Forest Hills Blvd, Haughton, LA 71037-9431 Ph: (318) 268-6505 | Untracy Vanee Brittentine, 1875 Main St, Haynesville, LA 71038-4905 Ph: (318) 268-6505 |
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