Individual
SHIRELLE ANN LATOUR-MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7196
(337) 304-2877
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
03/23/2020
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