MARK R PATIN

LAFAYETTE, LA
NPI1083726582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  03821)
Enumeration Date2006-08-31
Last Update Date2008-03-28
Business Address
Mr. MARK R PATIN CRNA
611 SAINT LANDRY ST
LAFAYETTE, LA 70506-4627
Phone number: 337-289-2966
Mailing Address
Mr. MARK R PATIN CRNA
PO BOX 53864
LAFAYETTE, LA 70505-3864
Phone number: 337-289-2966