Organization
CREFASI ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS A CREFASI (PRESIDENT)
(225) 753-4805
Entity
Organization
Contact information
Practice address
3145 SHADOW LAKE DR, BATON ROUGE, LA 70816-3795
(223) 753-4805
(866) 635-0474
Mailing address
3145 SHADOW LAKE DR, BATON ROUGE, LA 70816-3795
(223) 753-4805
(866) 635-0474
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
71419
LA
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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