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Candice Stallone Tyree
Non-emergency Medical Transport (VAN) in Shreveport, Louisiana
NPI 1366900425

Candice Stallone Tyree is a Non-emergency Medical Transport (VAN) based in Shreveport, LA. Candice Stallone Tyree practices in Shreveport, LA. The NPI Number for Candice Stallone Tyree is 1366900425 and holds a License No. (Louisiana).

The current practice location address for Candice Stallone Tyree is 6604 Jefferson Paige Rd, Shreveport, LA and can be reached out via phone at 318-288-1949.

Location: 6604 Jefferson Paige Rd, Shreveport, LA, 71119-5006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366900425
Provider Name
Candice Stallone Tyree
Credential
Provider Entity Type
Individual
Gender
Female
Address
6604 Jefferson Paige Rd, Shreveport, LA, 71119-5006
Phone Number
318-288-1949
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8099 01 LA TRANSPORTATION
institution
Provider Business Practice Location Address Details
Address
6604 Jefferson Paige Rd
City
Shreveport
State
Louisiana
Zip
71119-5006
Phone Number
318-288-1949
Fax Number
person
Provider Business Mailing Address Details
Address
6604 Jefferson Paige Rd
City
Shreveport
State
Louisiana
Zip
71119-5006
Phone Number
318-288-1949
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
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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