RICHARD NATHAN DISOTELL

SHREVEPORT, LA
NPI1235401696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  APO6740)
Enumeration Date2012-02-01
Last Update Date2012-02-01
Business Address
-- RICHARD NATHAN DISOTELL CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
Mailing Address
-- RICHARD NATHAN DISOTELL CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
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