Individual
SHANDRA TRE'NISE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 S MAGNOLIA ST, SUITE A, HAMMOND, LA 70403-5020
(985) 247-4567
(985) 269-7091
Mailing address
1402 S MAGNOLIA ST, SUITE A, HAMMOND, LA 70403-5020
(985) 247-4567
(985) 269-7091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08123
LA
Other
Enumeration date
01/13/2015
Last updated
03/30/2015
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