| NPI | 1487885315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY CHARLES GRANGER President 225-755-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN037167) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |