Organization
ON THE WAY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL TASBY (OWNER)
(318) 780-5490
Entity
Organization
Contact information
Practice address
9522 LEASIDE WAY, SHREVEPORT, LA 71118-4340
(318) 780-5490
Mailing address
9522 LEASIDE WAY, SHREVEPORT, LA 71118-4340
(318) 780-5490
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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