Organization
STATONNEMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE DECARLA STATON (OWNER)
(972) 754-6708
Entity
Organization
Contact information
Practice address
517 JOANNES ST, BOSSIER CITY, LA 71111-4123
(972) 754-6708
Mailing address
517 JOANNES ST, BOSSIER CITY, LA 71111-4123
(318) 426-8639
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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