Individual
SHEKAUL VONDEL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 364-0441
Mailing address
201 ACADIAN LAKE DR, DUSON, LA 70529-4363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237563
LA
363LF0000X
Family Nurse Practitioner
237563
LA
Other
Enumeration date
10/01/2024
Last updated
03/04/2025
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