DAMON FORTENBERRY

BOGALUSA, LA
NPI1790788214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN073334)
Enumeration Date2005-05-30
Last Update Date2020-12-30
Business Address
DAMON FORTENBERRY CRNA
433 PLAZA ST
BOGALUSA, LA 70427-3729
Phone number: 985-730-6700
Mailing Address
DAMON FORTENBERRY CRNA
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-765-5727
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