Individual
MOHAMED ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6401 SHREVEPORT HWY, PINEVILLE, LA 71360-2850
(318) 704-0625
(318) 704-0626
Mailing address
6401 SHREVEPORT HWY, PINEVILLE, LA 71360-2850
(318) 704-0625
(318) 704-0626
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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