Individual
SHANDA N PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 WILMA LN LOT 1, MANSFIELD, LA 71052-4562
(318) 771-8388
Mailing address
155 WILMA LN LOT 1, MANSFIELD, LA 71052-4562
(318) 771-8388
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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