Individual
SHANNON GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 ARIS AVE, METAIRIE, LA 70005-3426
(504) 377-9353
Mailing address
301 ARIS AVE, METAIRIE, LA 70005-3426
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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