DEREK LEONARD HINES

SLIDELL, LA
NPI1841454956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP05510)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
-- DEREK LEONARD HINES CRNA
636 GAUSE BLVD SUITE 200
SLIDELL, LA 70458-2007
Phone number: 985-641-8008
Mailing Address
-- DEREK LEONARD HINES CRNA
PO BOX 3249
SLIDELL, LA 70459-3249
Phone number: 985-641-8008
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