Individual
SHELLY TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ALLEGRO AVE, DUSON, LA 70529-3349
(337) 356-7595
Mailing address
101 ALLEGRO AVE, DUSON, LA 70529-3349
(337) 356-7595
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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