Individual
HECTOR JORDAN ZAYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4583
(985) 898-4394
Mailing address
39239 Z OAKS LN, PONCHATOULA, LA 70454-4605
(985) 320-8476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN136074
LA
367500000X
Certified Registered Nurse Anesthetist
120488
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
226730
LA
Other
Enumeration date
04/30/2019
Last updated
10/07/2022
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