Individual
MARJORIE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3704 NORTH BLVD, ALEXANDRIA, LA 71301-3658
(318) 443-4576
Mailing address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3658
(318) 443-4576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303153
LA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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