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SERGHEI ALEXANDR EVTODIENCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 503-4000
Mailing address
5000 W ESPLANADE AVE # 610, METAIRIE, LA 70006-2570
(504) 994-4691

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
229875
LA

Other

Enumeration date
04/19/2023
Last updated
09/11/2025
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