Individual
VASHTI HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 FLORIDA BLVD, BATON ROUGE, LA 70806-4247
(225) 266-0696
Mailing address
5850 FLORIDA BLVD, BATON ROUGE, LA 70806-4247
(225) 266-0696
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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