Individual
SAMANTHA BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 BELLO ST, LA PLACE, LA 70068-8406
(504) 812-2248
Mailing address
13 BELLO ST, LA PLACE, LA 70068-8406
(504) 812-2248
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008452624
LA
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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