Individual provider · NPI-1
Derrick Mason
Transportation Broker · Baton Rouge, LA
NPI number1457102253
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1457102253
- Entity type
- Individual (NPI-1)
- Name
- Derrick Mason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2024
- Certification date
- Mar 29, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347E00000X | Transportation Broker | – | – | Yes |
Practice location
3636 Greentree DrBaton Rouge, LA 70814-1217
Phone 225-955-6264
Mailing address
3636 Greentree DrBaton Rouge, LA 70814-1217
Phone 225-955-6264
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