Equiella Ivery is a Driver based in Fordoche, LA. Equiella Ivery practices in Fordoche, LA. The NPI Number for Equiella Ivery is 1093420200 and holds a License No. (Louisiana).
The current practice location address for Equiella Ivery is 4295 Ball Park Rd, Fordoche, LA and can be reached out via phone at 225-274-4155.
Location: 4295 Ball Park Rd, Fordoche, LA, 70732-3112
Provider Profile Details
NPI Number
1093420200
Provider Name
Equiella Ivery
Credential
Provider Entity Type
Individual
Gender
Female
Address
4295 Ball Park Rd, Fordoche, LA, 70732-3112
Phone Number
225-274-4155
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4295 Ball Park Rd
City
State
Zip
70732-3112
Phone Number
225-274-4155
Fax Number
Provider Business Mailing Address Details
Address
4295 Ball Park Rd
City
State
Zip
70732-3112
Phone Number
225-274-4155
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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