Individual
SHAKETHA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, DOULA
Contact information
Practice address
904 TIGER DR, THIBODAUX, LA 70301-6632
(985) 992-5523
Mailing address
904 TIGER DR, THIBODAUX, LA 70301-6632
(985) 992-5523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130232
LA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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