Individual
STEFIN ESTON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7991
Mailing address
1972 CHERRYDALE AVE, BATON ROUGE, LA 70808-2815
(225) 571-8238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223708
LA
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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