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Individual

SETH CRNKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(225) 485-2845
Mailing address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158934
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
233969
LA

Other

Enumeration date
07/17/2023
Last updated
01/04/2024
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