Individual
CORNELIUS MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
1720 YORKTOWNE DRIVE, LAPLACE, LA 70068-2812
(504) 220-8308
Mailing address
1720 YORKTOWNE DR, LA PLACE, LA 70068-2812
(504) 220-8308
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802685169
MS
Other
Enumeration date
01/12/2018
Last updated
06/16/2018
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