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Individual

MR. HAROLD ANDERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
739 CASCIO RD, MOSS BLUFF, LA 70611-6018
(337) 532-1100
Mailing address
739 CASCIO RD, MOSS BLUFF, LA 70611-6018
(337) 532-1100

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi
347C00000X
Private Vehicle

Other

Enumeration date
02/18/2019
Last updated
02/18/2019
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