Individual
ABIGAIL SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 WESTWOOD DR, MANDEVILLE, LA 70471-8907
(985) 237-8775
Mailing address
423 WESTWOOD DR, MANDEVILLE, LA 70471-8907
(985) 237-8775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200686
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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