Individual
MR. JARED GEORGE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4150 NELSON ROAD, BUILDING A SUITE 4, LAKE CHARLES, LA 70605-4196
(337) 474-6353
(337) 477-7616
Mailing address
4150 NELSON ROAD, BUILDING A SUITE 4, LAKE CHARLES, LA 70605-4196
(337) 474-6353
(337) 477-7616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04937
LA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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