DERRIUS UNGELL TAYLOR

LA PLACE, LA
NPI1790343606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  6419464)
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
Mr. DERRIUS UNGELL TAYLOR
213 SOMERSET ST
LA PLACE, LA 70068-5211
Phone number: 504-905-8313
Mailing Address
Mr. DERRIUS UNGELL TAYLOR
213 SOMERSET ST
LA PLACE, LA 70068-5211
Phone number: 504-905-8313
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