Individual
COLLIN TAYLOR DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-7011
Mailing address
814 PASADENA AVE UNIT A, METAIRIE, LA 70001-4846
(318) 751-0946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
218116
LA
Other
Enumeration date
01/07/2021
Last updated
01/11/2021
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