Individual
SHANNON LYNN TAYLOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED COSMETOLOGI
Contact information
Practice address
12186 DEVENTER DR, GEISMAR, LA 70734-3372
(504) 342-7603
Mailing address
12186 DEVENTER DR, GEISMAR, LA 70734-3372
(504) 342-7603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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