CODY JAMES PREJEAN

HOUMA, LA
NPI1710514567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  220291)
Enumeration Date2020-03-23
Last Update Date2021-06-04
Business Address
CODY JAMES PREJEAN
413 CAVANESS DR
HOUMA, LA 70364-2221
Phone number: 985-859-6323
Mailing Address
CODY JAMES PREJEAN
PO BOX 6014
HOUMA, LA 70361-6014
Phone number: 985-850-6398