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Individual

MISS SHALANE YVONNE SHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
7777 HENNESSY BLVD, SUITE 1000, BATON ROUGE, LA 70808-4395
(225) 767-3900
(225) 214-9109
Mailing address
7777 HENNESSY BLVD, SUITE 1000, BATON ROUGE, LA 70808-4395
(225) 767-3900

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
200203
LA

Other

Enumeration date
09/16/2008
Last updated
09/16/2008
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