Individual
CAITLYN BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2640 COUNTRY CLUB RD, 400, LAKE CHARLES, LA 70605-6078
(337) 250-1969
Mailing address
2640 COUNTRY CLUB RD., 400, LAKE CHARLES, LA 70605
(337) 250-1969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
09185
LA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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