Organization
CREEKSIDE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOLITHA NUNNERY OWNER (OWNER)
(985) 602-6672
Entity
Organization
Contact information
Practice address
625 TUPELO DR, PONCHATOULA, LA 70454-3940
(504) 402-1518
Mailing address
625 TUPELO DR, PONCHATOULA, LA 70454-3940
(504) 402-1518
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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