Individual provider · NPI-1
Derinekia Albert
Transportation Broker · Baton Rouge, LA
NPI number1154723690
StatusActive
Last updated in NPPESApr 8, 2016
Details
- NPI
- 1154723690
- Entity type
- Individual (NPI-1)
- Name
- Derinekia Albert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2014
- Last updated
- Apr 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347E00000X | Transportation Broker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
4667 Airline HwyBaton Rouge, LA 70805-1514
Phone 225-266-8956
Mailing address
4652 Glen Oaks DrBaton Rouge, LA 70811-6023
Phone 225-266-8956
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