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Individual

RETERRICK EMMEL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1049 SWAN AVE, BATON ROUGE, LA 70807-4573
Mailing address
1049 SWAN AVE, BATON ROUGE, LA 70807-4573
(318) 538-8583

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
011177033
LA

Other

Enumeration date
07/22/2019
Last updated
07/22/2019
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