Individual
JEREMY JOSEPH BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 AMBERGRIS LN, LAFAYETTE, LA 70508-8152
(337) 280-9311
Mailing address
305 AMBERGRIS LN, LAFAYETTE, LA 70508-8152
(337) 280-9311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04848
LA
367500000X
Certified Registered Nurse Anesthetist
RN105054
LA
Other
Enumeration date
05/15/2006
Last updated
03/24/2015
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