DEIRDRE IRENE DETRAZ

LAFAYETTE, LA
NPI1396761060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  APO 4805)
Enumeration Date2006-07-14
Last Update Date2024-11-08
Business Address
DEIRDRE IRENE DETRAZ ANPC
207 N LUKE ST
LAFAYETTE, LA 70506
Phone number: 337-739-7278
Mailing Address
DEIRDRE IRENE DETRAZ ANPC
PO BOX 81095
LAFAYETTE, LA 70598-1095
Phone number: 337-739-7278