Individual
MR. SHAWN MICHEAL PREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 A FREETOWN LANE, BELLE ROSE, LA 70341
(985) 513-9824
Mailing address
PO BOX 152, BELLE ROSE, LA 70341-0152
(985) 513-9824
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
009375407
LA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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