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 Date2012-11-06
Business Address
-- DEIRDRE IRENE DETRAZ ANP-C
2801 KALISTE SALOOM RD SUITE 200 B
LAFAYETTE, LA 70508-7181
Phone number: 337-739-7278
Mailing Address
-- DEIRDRE IRENE DETRAZ ANP-C
PO BOX 81095
LAFAYETTE, LA 70598-1095
Phone number: 337-739-7278