Individual
MAISHA LASHAWN BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 MAIN ST STE A, BAKER, LA 70714-2838
(225) 522-0502
Mailing address
1434 MAIN ST STE A, BAKER, LA 70714-2838
(225) 522-0502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010781841
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842737387
—
LA
Enumeration date
06/02/2022
Last updated
06/02/2022
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