Individual
SHANTELLE RENEE LANDRY-PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3901 E BAMBOO DR, HARVEY, LA 70058-5820
(504) 905-9871
Mailing address
3901 E BAMBOO DR, HARVEY, LA 70058-5820
(504) 905-9871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101216
LA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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