Individual
WILLIAM FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 N. 7TH ST., APT. 4, MONROE, LA 71201
(318) 418-6591
Mailing address
1002 N. 7TH ST., APT. 4, MONROE, LA 71201
(318) 418-6591
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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