Individual
KEOKA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDL CLASS A
Contact information
Practice address
46406 JENKINS RD., FRANKLINTON, LA 70438
(504) 930-1276
Mailing address
46396 JENKINS RD, FRANKLINTON, LA 70438-3508
(504) 930-1276
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
10065508
LA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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