person
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. You can also correspond with Mary Jane Knight through the mailing address at 12447 FAWN WOOD DR, WALKER, LA - 70785-5754 (mailing address contact number: 225-323-3475).

Location: 12447 Fawn Wood Drive, Walker, LA, 70785-5754
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
State
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
State
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
License No.
006582267 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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