Individual
MRS. ANTWYLA CHADELL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 HWY 1045, AMITE, AMITE, LA 70422
(985) 507-0368
(215) 358-2736
Mailing address
3285 HWY 1045, AMITE, AMITE, LA 70422
(985) 507-0368
(215) 358-2736
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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