Most Relevant Information
Provider Data
| NPI Number: | 1003274671 |
| Provider Name: | SHAWNDA PARKER |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | 0005416646 |
Most Important Dates
| Enumeration Date: | 02/10/2016 |
| Last Updated: | 02/10/2016 |
Provider Practice Location
41399 RICHARD MILES RD
GONZALES
LA
707378246
Practice Location Phone/Fax
| Phone: | 2253661737 |
| Fax: | 2253661737 |
Provider Mailing Location
41399 RICHARD MILES RD
GONZALES
LA
707378246
Provider Mailing Phone/Fax
| Phone: | 2253661737 |
| Fax: | 2253661737 |