Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 SHADY LN, MONROE, LA 71203-2231
(318) 307-2909
Mailing address
214 SHADY LN, MONROE, LA 71203-2231
(318) 307-2909
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1700010629
LA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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