Individual
TREY GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 N CAUSEWAY BLVD #625, METAIRIE, LA 70002
(504) 779-5515
Mailing address
3900 N CAUSEWAY BLVD STE 625, METAIRIE, LA 70002-1771
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126865
LA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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