Individual
SHANNON MARIE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 EAST MCNEESE, LAKE CHARLES, LA 70607
(337) 475-5206
Mailing address
800 EAST MCNEESE, LAKE CHARLES, LA 70607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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