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Organization

ASSISTANT TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE ORNELAS (OWNER)
(318) 751-6375
Entity
Organization

Contact information

Practice address
1206 GRETCHEN LN, BOSSIER CITY, LA 71112-5113
(318) 751-6375
(318) 606-3004
Mailing address
1206 GRETCHEN LN, BOSSIER CITY, LA 71112-5113
(318) 751-6375
(318) 606-3004

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010761955
LA

Other

Enumeration date
08/30/2016
Last updated
08/30/2016
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