Individual
SHANTEAU SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2169842001400
LA
332B00000X
Durable Medical Equipment & Medical Supplies
2169842001400
LA
332BC3200X
Customized Equipment (DME)
2169842001400
LA
335E00000X
Prosthetic/Orthotic Supplier
Primary
2169842001400
LA
Other
Enumeration date
06/16/2020
Last updated
06/17/2020
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