CHARLOTTE MARTIA BORDELON

LAKE CHARLES, LA
NPI1528565942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  006828053)
Enumeration Date2018-04-11
Last Update Date2018-04-11
Business Address
Mrs. CHARLOTTE MARTIA BORDELON
1516 CLOVER DR
LAKE CHARLES, LA 70607-4710
Phone number: 337-215-2613
Mailing Address
Mrs. CHARLOTTE MARTIA BORDELON
1516 CLOVER DR
LAKE CHARLES, LA 70607-4710
Phone number: 337-215-2613