Individual
DR. TRACE M JUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 MABLE ST, THIBODAUX, LA 70301-4013
(985) 859-0884
Mailing address
201 MABLE ST, THIBODAUX, LA 70301-4013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230430
LA
Other
Enumeration date
08/14/2020
Last updated
06/07/2023
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