Individual
SUN HEE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
(985) 639-3777
Mailing address
2750 GAUSE BLVD E, SLIDELL, LA 70461-4149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338328
LA
Other
Enumeration date
03/24/2020
Last updated
08/23/2023
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