Individual
MR. DERRIUS UNGELL TAYLOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 SOMERSET ST, LA PLACE, LA 70068-5211
(504) 905-8313
Mailing address
213 SOMERSET ST, LA PLACE, LA 70068-5211
(504) 905-8313
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6419464
LA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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