Individual
SHANNA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 DEAN ST APT 1, SULPHUR, LA 70663-4963
(337) 442-4382
Mailing address
1511 DEAN ST APT 1, SULPHUR, LA 70663-4963
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
30000516
LA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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