Individual
ROLAND OGOMWEN OKUNGBOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7145 PERKINS ROAD, BATON ROUGE, LA 70808-4322
(225) 765-3111
(225) 765-3114
Mailing address
7145 PERKINS ROAD, BATON ROUGE, LA 70808-4322
(225) 765-3111
(225) 765-3114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
37502
TN
367500000X
Certified Registered Nurse Anesthetist
AP04753
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-096621-AP04753
LA
Other
Enumeration date
09/21/2006
Last updated
02/04/2025
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