Individual
GERVIS TEZENO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 DAISY LN, OPELOUSAS, LA 70570-6733
(337) 418-5334
Mailing address
271 DAISY LN, OPELOUSAS, LA 70570-6733
(337) 418-5334
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
02/13/2019
Last updated
11/24/2020
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