Individual
TIFFANY SHANTELL LOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 N 3RD ST APT 218, BATON ROUGE, LA 70802-5172
(225) 588-7816
Mailing address
1925 N 3RD ST APT 218, BATON ROUGE, LA 70802-5172
(225) 588-7816
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
LA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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