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Organization

PERTINASTRANSPORTATIONLLC

Active
Other names
PertinasTransportationLLC
Organization subpart
No

Provider details

NPI number
Authorized official
PERTINA WALLS (OWNER)
(504) 338-5862
Entity
Organization

Contact information

Practice address
4719 GAWAIN DR, NEW ORLEANS, LA 70127-3219
(504) 338-5862
Mailing address
4719 GAWAIN DR, NEW ORLEANS, LA 70127-3219
(504) 338-5862

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011540826
NONMEDICAL
LA
Enumeration date
09/19/2019
Last updated
09/19/2019
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