DOMINICK DIECIDUE

METAIRIE, LA
NPI1013276153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN108985)
Enumeration Date2012-05-10
Last Update Date2012-05-10
Business Address
-- DOMINICK DIECIDUE CRNA
3510 N CAUSEWAY BLVD SUITE 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5515
Mailing Address
-- DOMINICK DIECIDUE CRNA
255 W MICHIGAN AVE PO BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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