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Individual

SAMANTHA CORMIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(985) 285-3582
Mailing address
102 PLAINVIEW DR, LAFAYETTE, LA 70508-6304
(337) 322-4182

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
06741
LA

Other

Enumeration date
01/27/2012
Last updated
04/22/2014
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