Individual
HUNTER HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-7265
(337) 988-5646
(337) 981-3590
Mailing address
1103 KALISTE SALOOM RD STE 304, LAFAYETTE, LA 70508-5784
(337) 988-5646
(337) 988-5646
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
211164
LA
Other
Enumeration date
09/24/2019
Last updated
01/16/2020
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