Individual
ASHLEY NICOL BIENEMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 ENGLISH COLONY DR, LA PLACE, LA 70068-2228
(504) 264-0787
Mailing address
2917 ENGLISH COLONY DR, LA PLACE, LA 70068-2228
(504) 264-0787
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
009005052
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
009005052
LA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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