Individual
SHAMONTAE RENEE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 HIGHWAY 400, NAPOLEONVILLE, LA 70390-8929
(504) 908-1769
Mailing address
329 HIGHWAY 400, NAPOLEONVILLE, LA 70390-8929
(504) 908-1769
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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