Individual
MISS MARY PRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 CHERRYHILL ST, LAKE CHARLES, LA 70607-4912
(337) 304-7034
Mailing address
1004 CHERRYHILL ST, LAKE CHARLES, LA 70607-4912
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
05/19/2017
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