Individual
MITCHELL CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 OUISKI BAYOU DR, HOUMA, LA 70360-7964
(337) 303-6209
Mailing address
122 OUISKI BAYOU DR, HOUMA, LA 70360-7964
(337) 303-6209
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230506
LA
Other
Enumeration date
08/14/2020
Last updated
06/01/2023
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