Organization
5 D N A G MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KISSEY SHANTELL SMITH-PARKER (OWNER)
(504) 457-9767
Entity
Organization
Contact information
Practice address
3620 CLIO ST APT A, NEW ORLEANS, LA 70125-2343
(504) 264-0033
Mailing address
3620 CLIO ST APT A, NEW ORLEANS, LA 70125-2343
(504) 264-0033
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
006915960
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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