Individual
JORDAN DAUGHENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(337) 480-7000
Mailing address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(337) 480-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08289
LA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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