Individual
DYNESTY BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 FENELON ST, CHALMETTE, LA 70043-4947
(504) 266-1237
Mailing address
2129 FENELON ST, CHALMETTE, LA 70043-4947
(504) 266-1237
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
11/25/2019
Last updated
10/11/2022
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