Individual
JENTELL SHONTA CALAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 DEER MEADOW BLVD, BROUSSARD, LA 70518-5229
(337) 849-0334
Mailing address
307 DEER MEADOW BLVD, BROUSSARD, LA 70518-5229
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010118569
LA
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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