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Kendrick Dequan White
Driver in Bossier City, Louisiana
NPI 1871108456

Kendrick Dequan White is a Driver based in Bossier City, LA. Kendrick Dequan White practices in Bossier City, LA. The NPI Number for Kendrick Dequan White is 1871108456 and holds a License No. (Louisiana).

The current practice location address for Kendrick Dequan White is 2285 Benton Rd Ste 202, Bossier City, LA and can be reached out via phone at 318-268-4608.

Location: 2285 Benton Rd Ste 202, Bossier City, LA, 71111-5176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871108456
Provider Name
Kendrick Dequan White
Credential
Provider Entity Type
Individual
Gender
Male
Address
2285 Benton Rd Ste 202, Bossier City, LA, 71111-5176
Phone Number
318-268-4608
Fax Number
Provider Enumeration Date
09/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2285 Benton Rd Ste 202
City
Bossier City
State
Louisiana
Zip
71111-7933
Phone Number
318-268-4608
Fax Number
person
Provider Business Mailing Address Details
Address
2285 Benton Rd Ste 202
City
Bossier City
State
Louisiana
Zip
71111-7933
Phone Number
318-268-4608
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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