Individual
SHANNON DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38259 HIGHWAY 621 TRLR 15, GONZALES, LA 70737-6288
(225) 461-9607
Mailing address
38259 HIGHWAY 621 TRLR 15, GONZALES, LA 70737-6288
(225) 461-9607
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376K00000X
Nurse's Aide
Primary
278948
LA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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