Individual
LINDA FAYE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 WINDSOR DR, BATON ROUGE, LA 70815-3074
(225) 266-5803
Mailing address
1515 WINDSOR DR, BATON ROUGE, LA 70815-3074
(225) 266-5803
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
003338644
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003338644
DRIVER LICENSE
LA
Enumeration date
02/06/2021
Last updated
02/06/2021
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