Individual
MISS TASSANY NICOLE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S ANDREW ST, JENNINGS, LA 70546-5702
(337) 388-1252
Mailing address
106 S ANDREW ST, JENNINGS, LA 70546-5702
(337) 388-1252
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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