Individual
JOSH GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
3900 N CAUSEWAY BLVD STE 625, METAIRIE, LA 70002-1771
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09701
LA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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