Individual
CHRISTOPHER BRECKENRIDGE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHSA
Contact information
Practice address
14496 AIRLINE HWY APT 417, GONZALES, LA 70737-6668
(504) 421-3368
Mailing address
14496 AIRLINE HWY APT 417, GONZALES, LA 70737-6668
(504) 421-3368
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
012253625
LA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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