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Individual

DARYL MARCELL BEARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11070 MEAD RD APT 0000, BATON ROUGE, LA 70816-2299
(225) 445-4931
Mailing address
11528 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8400
(123) 456-7890

Taxonomy

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

Other

Enumeration date
03/11/2014
Last updated
04/17/2015
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