Individual
MR. JAROD BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1105 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 578-3758
Mailing address
10443 SPRINGWIND CT, BATON ROUGE, LA 70810-7055
(337) 578-3758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP09110
LA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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