Individual
MR. MARVIN SHAWN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 ADAMS ST, OPELOUSAS, LA 70570-2825
(337) 945-4785
Mailing address
PO BOX 1012, OPELOUSAS, LA 70571-1012
(337) 945-4785
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
005363394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005363394
—
LA
Enumeration date
04/25/2019
Last updated
04/25/2019
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