Individual
CLEVELAND MARK AUZENNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 POLLY LN APT 227, LAFAYETTE, LA 70508-4981
(318) 751-3473
Mailing address
210 POLLY LN APT 227, LAFAYETTE, LA 70508-4981
(318) 751-3473
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
007387640
LA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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