EQUIELLA IVERY

Driver

Active Individual
NPI: 1093420200

Practice Address

4295 BALL PARK RD
Fordoche, LA 70732

Phone: (225) 274-4155

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1093420200 is the National Provider Identifier for EQUIELLA IVERY, a Driver provider located in Fordoche, LA. This NPI was enumerated on January 23, 2023.
EQUIELLA IVERY practices at 4295 BALL PARK RD, Fordoche, LA 70732.

Quick Facts

NPI
1093420200
Type
Individual
Enumerated
Jan 23, 2023
Last Updated
Jan 23, 2023

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