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Organization

MARYS MINISTRY TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALWONDA RANDOLPH-SMITH (OWNER)
(318) 557-8054
Entity
Organization

Contact information

Practice address
9466 BALBOA DR, BATON ROUGE, LA 70810-2315
(318) 557-8054
Mailing address
9466 BALBOA DR, BATON ROUGE, LA 70810-2315
(318) 557-8054

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/19/2019
Last updated
07/19/2019
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