Individual
KAWANA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9131 INTERLINE AVE STE 8B, BATON ROUGE, LA 70809-1957
(225) 773-4682
Mailing address
43087 W HARBOR LN, PRAIRIEVILLE, LA 70769-5277
(225) 773-4682
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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