Individual
SHELBY LYNN ASSAVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 S LAKE BLVD, VIOLET, LA 70092-3511
(504) 909-0374
Mailing address
2405 S LAKE BLVD, VIOLET, LA 70092-3511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00001
LA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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