Ebony Roussell is a Driver based in Marrero, LA. Ebony Roussell practices in Marrero, LA. The NPI Number for Ebony Roussell is 1598262883 and holds a License No. (Louisiana).
The current practice location address for Ebony Roussell is 931 Carmadelle St, Marrero, LA and can be reached out via phone at 504-510-7951.
Location: 931 Carmadelle St, Marrero, LA, 70072-2641
Provider Profile Details
NPI Number
1598262883
Provider Name
Ebony Roussell
Credential
Provider Entity Type
Individual
Gender
Female
Address
931 Carmadelle St, Marrero, LA, 70072-2641
Phone Number
504-510-7951
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 825114453 | 05 | LA |
Provider Business Practice Location Address Details
Address
931 Carmadelle St
City
State
Zip
70072-2641
Phone Number
504-510-7951
Fax Number
Provider Business Mailing Address Details
Address
931 Carmadelle St
City
State
Zip
70072-2641
Phone Number
504-510-7951
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.
Badge
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