JUSTIN K FUQUA

BATON ROUGE, LA
NPI1043858152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  210093)
Enumeration Date2019-12-19
Last Update Date2023-12-11
Business Address
JUSTIN K FUQUA CRNA
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-765-8541
Mailing Address
JUSTIN K FUQUA CRNA
7777 HENNESSY BLVD STE 301
BATON ROUGE, LA 70808-0319
Phone number: 225-214-6438
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