AQUA SHAW

NEW IBERIA, LA
NPI1285303958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221923)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
Mr. AQUA SHAW APRN, FNP-C
2315 E MAIN ST
NEW IBERIA, LA 70560-4031
Phone number: 337-364-0441
Mailing Address
Mr. AQUA SHAW APRN, FNP-C
11110 BOARDWALK DR APT 21
BATON ROUGE, LA 70816-8394
Phone number:
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