NPI 1003274671

Shawnda Parker

Practitioner Driver Gonzales, LA

Practice location

Address: 41399 Richard Miles Rd, Gonzales, LA 70737-8246
Phone: (225) 366-1737
Fax: (225) 366-1737

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 0005416646 (LA)

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Registry record

NPI: 1003274671
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2016
Record last updated: 10 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.