Most Relevant Information
Provider Data
| NPI Number: | 1003491960 |
| Provider Name: | BRANDIE MARIE FAUCHEUX RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133VN1004X |
| Specialty: | Dietitian, Registered |
| License Number: | 3004 |
Most Important Dates
| Enumeration Date: | 03/12/2021 |
| Last Updated: | 03/12/2021 |
Provider Practice Location
10310 THE GROVE BLVD
BATON ROUGE
LA
708366455
Practice Location Phone/Fax
| Phone: | 2257615200 |
| Fax: |
Provider Mailing Location
5151 ETTA STREET
3D, LEIGH'S COVE
BATON ROUGE
LA
70820
Provider Mailing Phone/Fax
| Phone: | 5044010647 |
| Fax: |