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Individual

KENYATTA VAN HOBBS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
305 KIROLI RD, 15, WEST MONROE, LA 71291-7095
(318) 267-1693
Mailing address
305 KIROLI RD, 15, WEST MONROE, LA 71291-7095
(318) 267-1693

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008125645
LA

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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