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Willie Deon Scott JR.
Driver in La Place, Louisiana
NPI 1104326024

Willie Deon Scott JR. is a Driver based in La Place, LA. Willie Deon Scott JR. practices in La Place, LA. The NPI Number for Willie Deon Scott JR. is 1104326024 and holds a License No. 005367074 (Louisiana).

The current practice location address for Willie Deon Scott JR. is 2505 S Sugar Ridge Rd, La Place, LA and can be reached out via phone at 504-235-5440.

Location: 2505 S Sugar Ridge Rd, La Place, LA, 70068-6262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104326024
Provider Name
Willie Deon Scott JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2505 S Sugar Ridge Rd, La Place, LA, 70068-6262
Phone Number
504-235-5440
Fax Number
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2505 S Sugar Ridge Rd
City
La Place
State
Louisiana
Zip
70068-6262
Phone Number
504-235-5440
Fax Number
person
Provider Business Mailing Address Details
Address
2505 S Sugar Ridge Rd
City
La Place
State
Louisiana
Zip
70068-6262
Phone Number
504-235-5440
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
005367074 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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