Individual
KATHY ONETIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PUGH ST, BASTROP, LA 71220-3570
(318) 281-2158
(318) 281-7210
Mailing address
119 PUGH ST, BASTROP, LA 71220-3570
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1662674
LA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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