Individual
MRS. LETOSHA SHEPARD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15641 JOOR RD, ZACHARY, LA 70791-8806
(225) 485-7952
Mailing address
15641 JOOR RD, ZACHARY, LA 70791-8806
(225) 485-7952
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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