JACOB D RYAN

LAKE CHARLES, LA
NPI1538211206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN075556)
Enumeration Date2007-01-16
Last Update Date2016-10-12
Business Address
-- JACOB D RYAN CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
Mailing Address
-- JACOB D RYAN CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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