Individual
MAURA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3148 CHIPPEWA ST, NEW ORLEANS, LA 70115-1150
(504) 205-5614
Mailing address
3148 CHIPPEWA ST, NEW ORLEANS, LA 70115-1150
(504) 205-5614
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5042055614
NON MEDICAL TRANSPORTATION
LA
Enumeration date
12/08/2020
Last updated
12/08/2020
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