Individual
MS. SHONETELL RENEE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 BARNETT CT, LAFAYETTE, LA 70507-2764
(337) 200-0372
Mailing address
121 BARNETT CT, LAFAYETTE, LA 70507-2764
(337) 200-0372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20180242
LA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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