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Dynesty Bruce

NPI 1477199461 · on the registry since 2019 · sole proprietor

Practice

Address
2129 Fenelon St
Chalmette, LA 70043
Phone
(504) 266-1237
Organisation at this address
Go Grimes Transportation Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana