Individual
JUSTYN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1185 GRAND BOIS RD, BREAUX BRIDGE, LA 70517-8424
(337) 991-6233
Mailing address
1185 GRAND BOIS RD, BREAUX BRIDGE, LA 70517-8424
(337) 991-6233
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
011502802
LA
Other
Enumeration date
05/21/2026
Last updated
05/23/2026
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