Individual
DOMINIQUE ROWDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20231 CLEMSON WAY, PONCHATOULA, LA 70454-4225
(985) 510-3229
Mailing address
20231 CLEMSON WAY, PONCHATOULA, LA 70454-4225
(985) 510-3229
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
009731922
LA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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