Individual
JEREMY ROMAINE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 RAGLE RD, LONGVILLE, LA 70652-3302
(346) 245-3509
Mailing address
338 RAGLE RD, LONGVILLE, LA 70652-3302
(346) 245-3509
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3415748
—
LA
Enumeration date
09/15/2021
Last updated
09/15/2021
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