Individual provider · Type 1 NPI

Equiella Ivery

Driver · Fordoche, LA

NPI number 1093420200 Active

Practice location

4295 Ball Park Rd
Fordoche, LA 70732-3112

Call (225) 274-4155 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1093420200

Equiella Ivery's National Provider Identifier is 1093420200, issued on Jan 23, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fordoche, LA. The record was last updated on Jan 23, 2023.