Individual
DR. SHANTRESE KENETRA DUPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
(504) 454-9031
Mailing address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
(504) 454-9031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338610
LA
Other
Enumeration date
06/05/2019
Last updated
08/31/2023
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