Country Road Resources, Inc

NPI 1073636015 - Technician - 3747P1801X

NPI Details
NPI 1073636015
Enumeration Date 04/06/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHNIECE JOHNIECE
Position DIRECTOR
Phone (318) 847-4193
Fax (318) 847-4192
Practice Location
25687 HWY 371
SAREPTA LA, 71071, US
Phone (318) 847-4193
Fax (318) 847-4192
Business Location
PO BOX 93
SAREPTA LA, 71071-0093, US
Phone (318) 847-4193
Fax (318) 847-4192
Toxanomy
Taxonomy Code 3747P1801X
License State Louisiana
License Number 1463272
Remove 1073636015 NPI Number
 

According to our database, Country Road Resources, Inc NPI is 1073636015, taxonomy code is 3747P1801X and license number is 1463272, license state is located at Louisiana. Country Road Resources, Inc physically located at 25687 Hwy 371, Sarepta LA, 71071. NPI Number 1033115704 has the healthcare provider type.

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1073636015 NPI number is provided on an as is basis without warranty of any kind. 1073636015 is maintained by the National Plan & Provider Enumeration System. The contents of Country Road Resources, Inc are for informational purposes only.