Individual
DONNA M BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1112 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-5770
(225) 644-3208
Mailing address
PO BOX 1725, GONZALES, LA 70707-1725
(225) 621-5770
(225) 644-3208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RNO49698
LA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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