NPI 1588155006

Courtnie Clark Graves, CCP

Practitioner Perfusionist Alexandria, LA

Practice location

Address: 3311 Prescott Rd STE 202, Alexandria, LA 71301-3983
Phone: (318) 442-0106
Fax: (318) 448-8918

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence PEF.200085 (LA)

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Registry record

NPI: 1588155006
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2018
Record last updated: 21 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.