Individual
MR. STEPHEN KIRK BILLEAUDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
106 W PORT ST, DERIDDER, LA 70634-4040
(337) 462-1461
Mailing address
19520 PATTERSON RD, WELSH, LA 70591-6516
(337) 540-0638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN117188
LA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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