NPI 1114450780

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Organisation Private Vehicle Monroe, LA

Practice location

Address: 250 Country Club Blvd, Monroe, LA 71202-7302
Phone: (318) 775-9420
Mailing address: PO Box 13124, Monroe, LA 71213-3124

Authorised official

Name: Cathy Willis
Title: Manager
Phone: (318) 775-9420

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1114450780
Entity type: Organization
NPI issued: 10 Apr 2017
Record last updated: 10 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.