Individual
ANTOINETTE RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12424 PARKTRAIL AVE, BATON ROUGE, LA 70816-6156
(225) 200-3454
Mailing address
12424 PARKTRAIL AVE, BATON ROUGE, LA 70816-6156
(225) 200-3454
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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