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Traverick Raydrakeyon Mason
Non-emergency Medical Transport (VAN) in Simmesport, Louisiana
NPI 1871174912

Traverick Raydrakeyon Mason is a Non-emergency Medical Transport (VAN) based in Simmesport, LA. Traverick Raydrakeyon Mason practices in Simmesport, LA. The NPI Number for Traverick Raydrakeyon Mason is 1871174912 and holds a License No. (Louisiana).

The current practice location address for Traverick Raydrakeyon Mason is 403 College Drive, Simmesport, LA and can be reached out via phone at 318-717-4399.

Location: 403 College Drive, Simmesport, LA, 71369-0069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871174912
Provider Name
Traverick Raydrakeyon Mason
Credential
Provider Entity Type
Individual
Gender
Male
Address
403 College Drive, Simmesport, LA, 71369-0069
Phone Number
318-717-4399
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
485991 01 LA NON EMERGENCY TRANSPORTATION CODE
institution
Provider Business Practice Location Address Details
Address
403 College Drive
City
Simmesport
State
Louisiana
Zip
71369
Phone Number
318-717-4399
Fax Number
person
Provider Business Mailing Address Details
Address
403 College Drive
City
Simmesport
State
Louisiana
Zip
71369
Phone Number
318-717-4399
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(Louisiana)
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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