Individual
PACHUA ASKUWHETEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1679 MAGNOLIA DR, PRENTISS, MS 39474-9008
(601) 550-7403
Mailing address
PO BOX 4486, BROOKHAVEN, MS 39603-6486
(601) 550-7403
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
LA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MS
344600000X
Taxi
—
LA
344600000X
Taxi
—
MS
Other
Enumeration date
01/15/2024
Last updated
01/16/2024
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