Individual
MS. SHOLA MICHELLE PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 N. I-10 SERVICE RD. APT. F 147, METAIRIE, LA 70002
(504) 722-3826
Mailing address
3901 N. I-10 SERVICE RD. APT. F 147, METAIRIE, LA 70002
(504) 722-3826
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
094850
LA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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