Individual
SHYLOH L MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 W JEFFERSON AVE, BASTROP, LA 71220-4543
(318) 235-5737
(318) 283-8954
Mailing address
11248 SHELTON RD, BASTROP, LA 71220-7614
(318) 235-5737
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
LA
Other
Enumeration date
12/27/2019
Last updated
12/30/2019
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