RICKY RAY MELANCON

HOUMA, LA
NPI1306918370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN038573 AP03634)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- RICKY RAY MELANCON CRNA
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-873-2200
Mailing Address
-- RICKY RAY MELANCON CRNA
409 ABBY RD
THIBODAUX, LA 70301-6022
Phone number: 985-446-8606
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