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Shantell Thibodeaux
NPI 1457845992 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7608 Lake Wood Dr
Erath, LA 70533 - Phone
- (337) 519-5549
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-19
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