Search › Louisiana › 367500000X
Trace Juneau, CRNA
NPI 1841801545 · on the registry since 2020
Practice
- Address
- 201 Mable St
Thibodaux, LA 70301 - Phone
- (985) 859-0884
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-07
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