Individual
DUSTIN BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 BRUCE SIMMONS RD, DERIDDER, LA 70634-7778
(337) 781-3033
Mailing address
368 BRUCE SIMMONS RD, DERIDDER, LA 70634-7778
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/19/2024
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