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Jevon Wali Gray SR.
Non-emergency Medical Transport (VAN) in La Place, Louisiana
NPI 1225785371

Jevon Wali Gray SR. is a Non-emergency Medical Transport (VAN) based in La Place, LA. Jevon Wali Gray SR. practices in La Place, LA. The NPI Number for Jevon Wali Gray SR. is 1225785371 and holds a License No. (Louisiana).

The current practice location address for Jevon Wali Gray SR. is 341 Capt G Bourgeois St, La Place, LA and can be reached out via phone at 504-913-4424.

Location: 341 Capt G Bourgeois St, La Place, LA, 70068-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225785371
Provider Name
Jevon Wali Gray SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
341 Capt G Bourgeois St, La Place, LA, 70068-4717
Phone Number
504-913-4424
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
341 Capt G Bourgeois St
City
La Place
State
Louisiana
Zip
70068-4717
Phone Number
504-913-4424
Fax Number
person
Provider Business Mailing Address Details
Address
341 Capt G Bourgeois St
City
La Place
State
Louisiana
Zip
70068-4717
Phone Number
504-913-4424
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Louisiana)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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