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Antoinette Charleston
Driver in Jennings, Louisiana
NPI 1275097800

Antoinette Charleston is a Driver based in Jennings, LA. Antoinette Charleston practices in Jennings, LA. The NPI Number for Antoinette Charleston is 1275097800 and holds a License No. (Louisiana).

The current practice location address for Antoinette Charleston is 136 Greenwood Dr, Jennings, LA and can be reached out via phone at 337-693-9445.

Location: 136 Greenwood Dr, Jennings, LA, 70546-4302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275097800
Provider Name
Antoinette Charleston
Credential
Provider Entity Type
Individual
Gender
Female
Address
136 Greenwood Dr, Jennings, LA, 70546-4302
Phone Number
337-693-9445
Fax Number
Provider Enumeration Date
01/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12101972 01 LA PRIVATE
institution
Provider Business Practice Location Address Details
Address
136 Greenwood Dr
City
Jennings
State
Louisiana
Zip
70546-4302
Phone Number
337-693-9445
Fax Number
person
Provider Business Mailing Address Details
Address
136 Greenwood Dr
City
Jennings
State
Louisiana
Zip
70546-4302
Phone Number
337-693-9445
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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