Collin Desandro, RN

NPI #1962219329 in Thibodaux, Louisiana

Provider Information

NPI Number: 1962219329
Entity Type: Individual
Name: Collin Desandro, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 164 KLEINPETER DR
City: Thibodaux
State: Louisiana
ZIP Code: 70301-6802
Phone: (985) 859-4962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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