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Shasta Butler
NPI 1235645375 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2704 Carlisle Dr S
Gretna, LA 70056 - Phone
- (504) 912-7142
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana