EMILE J CROUCHET

LAFAYETTE, LA
NPI1194280404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: LA  006138892)
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  006138892)
Enumeration Date2019-01-31
Last Update Date2019-10-09
Business Address
Mr. EMILE J CROUCHET
109 HARRISON DR
LAFAYETTE, LA 70507-5523
Phone number: 337-207-1626
Mailing Address
Mr. EMILE J CROUCHET
109 HARRISON DR
LAFAYETTE, LA 70507-5523
Phone number: 337-207-1626