Individual
MR. EMILE J CROUCHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 HARRISON DR, LAFAYETTE, LA 70507-5523
(337) 207-1626
Mailing address
109 HARRISON DR, LAFAYETTE, LA 70507-5523
(337) 207-1626
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
006138892
LA
343900000X
Non-emergency Medical Transport (VAN)
006138892
LA
Other
Enumeration date
01/31/2019
Last updated
10/09/2019
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