Individual
SHAMECHA BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 CAREY ST, SLIDELL, LA 70458-3627
(985) 646-6406
Mailing address
901 OLD SPANISH TRL APT 15, SLIDELL, LA 70458-5010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280881
LA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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