On the Way L.l.c.

NPI #1144838475 in Shreveport, Louisiana

Provider Information

NPI Number
1144838475
Entity Type
Organization
Organization Name
On the Way L.l.c.
Primary Specialty
Private Vehicle
Enumeration Date
Jul 22, 2020
Last Updated
Jul 22, 2020

Practice Location

Address
9522 LEASIDE WAY
ZIP Code
71118-4340
Phone
(318) 780-5490

Authorized Official

Name
CRYSTAL TASBY
Title
OWNER
Phone
(318) 780-5490

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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