Individual
SHURONDA MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 STANDIFER AVE, MONROE, LA 71202-5548
(318) 690-9367
Mailing address
2111 STANDIFER AVE, MONROE, LA 71202-5548
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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