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Organization

INDEPENDENT STAFFER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY ANN JEFFERSON (OWNER)
(318) 220-8631
Entity
Organization

Contact information

Practice address
6201 BERT KOUNS INDUSTRIAL LOOP, LOT263, SHREVEPORT, LA 71129-5056
(318) 220-8631
(318) 220-8631
Mailing address
6201 BERT KOUNS INDUSTRIAL LOOP, LOT263, SHREVEPORT, LA 71129-5056
(318) 220-8631
(318) 220-8631

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
006968664
LA

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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