Individual
JOHN ENOCH VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
(225) 769-3842
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 924-8149
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
TAP002736
LA
Other
Enumeration date
01/17/2012
Last updated
06/15/2017
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