Individual
MR. THEDRIC KYWON HANEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 BLOUNT RD APT 234, BATON ROUGE, LA 70807-2200
(225) 953-2960
Mailing address
1900 BLOUNT RD APT 234, BATON ROUGE, LA 70807-2200
(225) 953-2960
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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