Individual
GUSTINA MARIE VINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 HORSESHOE RD E, AMITE, LA 70422-6978
(985) 517-7858
Mailing address
456 HORSESHOE RD E, AMITE, LA 70422-6978
(985) 517-7858
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/16/2024
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