Individual
GLYNIS A QUEBEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5117
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 473-0010
(318) 483-5117
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APO4934
LA
Other
Enumeration date
09/01/2006
Last updated
04/01/2015
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