Individual
MR. JUSTIN L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 BARCLAY DR, NATCHITOCHES, LA 71457
(318) 529-8761
Mailing address
1530 BARCLAY DR, NATCHITOCHES, LA 71457
(318) 529-8761
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
006458072
LA
Other
Enumeration date
12/08/2023
Last updated
03/21/2024
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