Individual
MR. SHANE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2006 CHALONA LN APT 2B, CHALMETTE, LA 70043-5571
(504) 502-1082
Mailing address
2006 CHALONA LN APT 2B, CHALMETTE, LA 70043-5571
(504) 502-1082
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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