Individual
SHAMANA S KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSS
Contact information
Practice address
12168 KENT RD, NORWOOD, LA 70761-3504
(225) 287-8660
Mailing address
2226 GENERAL MOUTON AVE, BATON ROUGE, LA 70810-6871
(225) 287-8660
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
16681
LA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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