Individual
CHANTEZ SHANICE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4200
Mailing address
7205 LAUREL RDG, GREENWOOD, LA 71033-2343
(318) 540-8171
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
LA
Enumeration date
10/15/2020
Last updated
10/15/2020
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