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Andre O Claiborne

Non-emergency Medical Transport (VAN) in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1790242535
StatusActive
Last updated in NPPESFeb 28, 2019

Details

NPI
1790242535
Entity type
Individual (NPI-1)
Name
Andre O Claiborne
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 28, 2019
Last updated
Feb 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)005624987LAYes

Practice location

4348 E Maribel Ct
Baton Rouge, LA 70812-4027

Phone 225-266-8396

Mailing address

4348 E Maribel Ct
Baton Rouge, LA 70812-4027

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