Individual
MRS. SHANNON DELAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4201
(504) 645-3642
Mailing address
5709 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70122-4201
(504) 645-3642
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/17/2019
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