Search › Louisiana › 111N00000X
Jonathan Boudreaux, D.C
NPI 1649410267 · on the registry since 2009
Practice
- Address
- 3742 Highway 1
Raceland, LA 70394 - Phone
- (985) 537-7187
- Fax
- (985) 537-7188
- Organisation at this address
- Dr. Bryan J. Dufrene
A Divine Refreshing Adult Day Care CenterInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana