Individual
BRANDON ROY MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4420 GREENWOOD RD, SHREVEPORT, LA 71109-5612
(318) 220-8714
(318) 220-8744
Mailing address
4420 GREENWOOD RD, SHREVEPORT, LA 71109-5612
(318) 220-8714
(318) 220-8744
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A827257
LA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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