Individual provider · NPI-1

Melissa Bordere

Driver · New Orleans, LA

NPI number1487288379
StatusActive
Last updated in NPPESFeb 28, 2020

Details

NPI
1487288379
Entity type
Individual (NPI-1)
Name
Melissa Bordere
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 28, 2020
Certification date
Feb 28, 2020
Last updated
Feb 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

7540 Pineridge St
New Orleans, LA 70128-3303

Phone 504-473-4374

Mailing address

7540 Pineridge St
New Orleans, LA 70128-3303

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