Individual
SHANNON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 LAUREN LN, JENNINGS, LA 70546-3411
(337) 661-4652
Mailing address
1211 LAUREN LN, JENNINGS, LA 70546-3411
(337) 661-4652
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
010337241
LA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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