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Individual

MR. ANDRE GERMANY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1068 WOODSHIRE CIR, SHREVEPORT, LA 71107-2837
(318) 834-4606
Mailing address
1068 WOODSHIRE CIR, SHREVEPORT, LA 71107-2837
(318) 834-4606

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07656276
LA
Enumeration date
09/05/2022
Last updated
09/05/2022
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