Individual provider · Type 1 NPI
Mary Jane Knight
Driver · Walker, LA
NPI number
1093090573
Active
Practice location
12447 Fawn Wood Drive
Walker, LA 70785-5754
Fax (225) 272-3877
Mailing address
12447 Fawn Wood Dr
Walker, LA 70785-5754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 006582267 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1093090573
Mary Jane Knight's National Provider Identifier is 1093090573, issued on Oct 17, 2011. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Walker, LA. The record was last updated on Oct 17, 2011.