JASON P. BREAUX

LAFAYETTE, LA
NPI1710937107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP04854)
Enumeration Date2006-05-10
Last Update Date2007-07-18
Business Address
Mr. JASON P. BREAUX CRNA
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-988-1890
Mailing Address
Mr. JASON P. BREAUX CRNA
PO BOX 53847
LAFAYETTE, LA 70505-3847
Phone number: 337-988-1890
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