Individual
ENRRIQUE A MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1211 COOLIDGE BLVD STE 301, LAFAYETTE, LA 70503-2636
(337) 289-8816
Mailing address
1211 COOLIDGE BLVD STE 301, LAFAYETTE, LA 70503-2636
(337) 289-8816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221139
LA
Other
Enumeration date
07/22/2021
Last updated
11/13/2021
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