Individual
SHAMYRIA BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4122 IBERVILLE ST, NEW ORLEANS, LA 70119-5133
(504) 338-6869
Mailing address
4122 IBERVILLE ST, NEW ORLEANS, LA 70119-5133
(504) 338-6869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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