Equiella Ivery

NPI #1093420200 in Fordoche, Louisiana

Provider Information

NPI Number
1093420200
Entity Type
Individual
Name
Equiella Ivery
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Driver
Enumeration Date
Jan 23, 2023
Last Updated
Jan 23, 2023

Practice Location

Address
4295 BALL PARK RD
ZIP Code
70732-3112
Phone
(225) 274-4155

Specialties & Taxonomy Codes

Specialty
Driver

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