Organization
ROLAND O. OKUNGBOWA, CRNA-APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND O. OKUNGBOWA CRNA (SOLE OWNER)
(225) 572-9920
Entity
Organization
Contact information
Practice address
18274 MAGNOLIA OAKS DR, PRAIRIEVILLE, LA 70769-3339
(225) 572-9920
(225) 313-3460
Mailing address
PO BOX 1580, PRAIRIEVILLE, LA 70769-1580
(225) 572-9920
(225) 313-3460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04753
LA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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