Organization · NPI-2
2 Little Women Trans LLC
Driver · Port Barre, LA
NPI number1083296354
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1083296354
- Entity type
- Organization (NPI-2)
- Legal business name
- 2 Little Women Trans LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
184 Theo AvePort Barre, LA 70577-5209
Phone 337-592-3522
Mailing address
184 Theo AvePort Barre, LA 70577-5209
Phone 337-592-3522
Authorized official
Schemekia Lashun Evans
Owner
3375923522
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