Individual
SHARONDA MICHELLE GANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA,CPT,CNA
Contact information
Practice address
2616 N PARK AVE, MANSFIELD, LA 71052-5738
(318) 461-8007
Mailing address
2616 N PARK AVE, MANSFIELD, LA 71052-5738
(318) 461-8007
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
LA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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