Individual
SHANNON ELIZABETH ROUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22464 HIGHWAY 435, ABITA SPRINGS, LA 70420-2206
(985) 893-7835
Mailing address
4904 TARTAN DR, METAIRIE, LA 70003-2641
(985) 801-9183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7683
LA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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