MATTHEW FULLER IRBY

PORT ALLEN, LA
NPI1114589967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: LA  RN134213)
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
Mr. MATTHEW FULLER IRBY RN
203 ALLENDALE DR
PORT ALLEN, LA 70767-3219
Phone number: 225-389-1311
Mailing Address
Mr. MATTHEW FULLER IRBY RN
PO BOX 395
CLINTON, LA 70722-0395
Phone number: 225-683-5292