Organization
BERRY POPULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FISHER (MEMBER)
(504) 247-5779
Entity
Organization
Contact information
Practice address
538 QUEEN ANNE DR, SLIDELL, LA 70460-8440
(504) 237-5779
Mailing address
538 QUEEN ANNE DR, SLIDELL, LA 70460-8440
(504) 237-5779
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
008906349
LA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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