Provider Demographics
NPI:1417788860
Name:DAMOND, WAUKIA CHENEY
Entity type:Individual
Prefix:MS
First Name:WAUKIA
Middle Name:CHENEY
Last Name:DAMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 NW EVANGELINE THRUWAY
Mailing Address - Street 2:STE M3
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520
Mailing Address - Country:US
Mailing Address - Phone:337-849-6886
Mailing Address - Fax:
Practice Address - Street 1:3419 NW EVANGELINE THRUWAY
Practice Address - Street 2:STE M3
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520
Practice Address - Country:US
Practice Address - Phone:337-849-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)