Individual
WILLIE DEAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7351 HANSBROUGH ST, NEW ORLEANS, LA 70127-1717
(504) 875-4151
Mailing address
7351 HANSBROUGH ST, NEW ORLEANS, LA 70127-1717
(504) 875-4151
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
005652112
LA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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