Individual
CHAWN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
678 TERRY PKWY, GRETNA, LA 70056-4306
(504) 366-1535
Mailing address
PO BOX 2423, HARVEY, LA 70059-2423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PNT.046183
LA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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