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Kassandra Barrera
Driver in Jackson, Louisiana
NPI 1750972667

Kassandra Barrera is a Driver based in Jackson, LA. Kassandra Barrera practices in Jackson, LA. The NPI Number for Kassandra Barrera is 1750972667 and holds a License No. 861509583 (Louisiana).

The current practice location address for Kassandra Barrera is 2745 Cottage Street, Jackson, LA and can be reached out via phone at 225-245-2257 and via fax at 225-351-9033.

Location: 2745 Cottage Street, Jackson, LA, 70748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750972667
Provider Name
Kassandra Barrera
Credential
Provider Entity Type
Individual
Gender
Female
Address
2745 Cottage Street, Jackson, LA, 70748
Phone Number
225-245-2257
Fax Number
225-351-9033
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86-1509583 05 LA
institution
Provider Business Practice Location Address Details
Address
2745 Cottage Street
City
Jackson
State
Louisiana
Zip
70748
Phone Number
225-245-2257
Fax Number
225-351-9033
person
Provider Business Mailing Address Details
Address
2745 Cottage Street
City
Jackson
State
Louisiana
Zip
70748
Phone Number
225-245-2257
Fax Number
225-351-9033
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
861509583 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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