Individual
JOSHUA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(540) 761-7371
Mailing address
4 WILLOW CREEK LN APT 4205, JONESBORO, AR 72404-7990
(985) 981-2299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09660
LA
Other
Enumeration date
04/12/2016
Last updated
09/29/2018
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