Individual
SHANTELL CHRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LAKESHORE BLVD N APT 6312, SLIDELL, LA 70461-6630
(504) 390-5123
Mailing address
301 LAKESHORE BLVD N APT 6312, SLIDELL, LA 70461-6630
(504) 390-5123
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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