Individual
SHANNAN DAVIS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1232 S MORRISON BLVD, HAMMOND, LA 70403-5702
(985) 340-0044
(208) 248-4170
Mailing address
39229 KEAGHEY RD, PONCHATOULA, LA 70454-4641
(985) 634-1687
(208) 248-4170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA1640
LA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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