DUSTY COLE POURCIAU

LANHAM, MD
NPI1265732564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R230004)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN114399)
Enumeration Date2010-11-02
Last Update Date2019-01-08
Business Address
DUSTY COLE POURCIAU CRNA
8118 GOOD LUCK RD
LANHAM, MD 20706-3574
Phone number: 301-324-4968
Mailing Address
DUSTY COLE POURCIAU CRNA
7777 HENNESSY BLVD STE 301
BATON ROUGE, LA 70808-0319
Phone number: 225-769-4403