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Mary Jane Knight
Driver in Walker, Louisiana
NPI 1093090573

Mary Jane Knight is a Driver based in Walker, LA. Mary Jane Knight practices in Walker, LA. The NPI Number for Mary Jane Knight is 1093090573 and holds a License No. 006582267 (Louisiana).

The current practice location address for Mary Jane Knight is 12447 Fawn Wood Drive, Walker, LA and can be reached out via phone at 225-323-3475 and via fax at 225-272-3877.

Location: 12447 Fawn Wood Drive, Walker, LA, 70785-5754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093090573
Provider Name
Mary Jane Knight
Credential
Provider Entity Type
Individual
Gender
Female
Address
12447 Fawn Wood Drive, Walker, LA, 70785-5754
Phone Number
225-323-3475
Fax Number
225-272-3877
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2161636 01 LA MEDICAID PROVIDER #
institution
Provider Business Practice Location Address Details
Address
12447 Fawn Wood Drive
City
Walker
State
Louisiana
Zip
70785-5754
Phone Number
225-323-3475
Fax Number
225-272-3877
person
Provider Business Mailing Address Details
Address
12447 Fawn Wood Drive
City
Walker
State
Louisiana
Zip
70785-5754
Phone Number
225-323-3475
Fax Number
225-272-3877
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
006582267 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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