Individual
LASHANDRIA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4909 PARK SHORE DR, MARRERO, LA 70072-6171
(504) 333-1739
Mailing address
4909 PARK SHORE DR, MARRERO, LA 70072-6171
(504) 333-1739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130131
LA
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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