Individual
MRS. SHANTA RENE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
120 REDWOOD LN, ONALASKA, WA 98570-8000
(318) 510-0905
Mailing address
120 REDWOOD LN, ONALASKA, WA 98570-8000
(318) 510-0905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161115
LA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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