Organization
C & B TRANSPORT 9 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARETTA LENAE CLARK (OWNER)
(318) 205-1252
Entity
Organization
Contact information
Practice address
7125 SUNTAN ST, SHREVEPORT, LA 71108-4927
(318) 205-1252
Mailing address
7125 SUNTAN ST, SHREVEPORT, LA 71108-4927
(318) 205-1252
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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