Individual
CARLOS GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IOMT
Contact information
Practice address
317 SMITH REED RD, LAFAYETTE, LA 70507-2605
(225) 239-2301
Mailing address
PO BOX 187, CARENCRO, LA 70520
(225) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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