Individual
SHAWNDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41399 RICHARD MILES RD, GONZALES, LA 70737-8246
(225) 366-1737
(225) 366-1737
Mailing address
41399 RICHARD MILES RD, GONZALES, LA 70737-8246
(225) 366-1737
(225) 366-1737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0005416646
LA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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