Individual
ABDOULAYE BA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9004 LETHA LOOP, SHREVEPORT, LA 71118-2422
(318) 458-8624
Mailing address
9004 LETHA LOOP, SHREVEPORT, LA 71118-2422
(318) 458-8624
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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