Individual
SHANTELL MARIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 FRANKEL AVE, METAIRIE, LA 70003-5049
(833) 853-8746
(833) 853-8746
Mailing address
1716 FRANKEL AVE, METAIRIE, LA 70003-5049
(833) 853-8746
(833) 853-8746
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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