Individual
MR. MARIO PEREZ-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 924-8149
(225) 293-1807
Mailing address
2644 S SHERWOOD FOREST BLVD STE 121, BATON ROUGE, LA 70816-2248
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202391
LA
Other
Enumeration date
03/13/2019
Last updated
11/13/2019
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