Individual
MISS AMY THERESA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14264 PATIN DYKE RD, VENTRESS, LA 70783-3904
(225) 618-9102
Mailing address
14264 PATIN DYKE RD, VENTRESS, LA 70783-3904
(225) 618-9102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05690
LA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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