JACOB IRION RICHARD

HOUMA, LA
NPI1649400755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP05864)
Enumeration Date2009-07-23
Last Update Date2012-02-20
Business Address
-- JACOB IRION RICHARD CRNA
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-873-2200
Mailing Address
-- JACOB IRION RICHARD CRNA
131 CINCLARE DR
THIBODAUX, LA 70301-8083
Phone number: 985-447-4102
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