Shantay Ealy

NPI #1114321296 in Geismar, Louisiana

Provider Information

NPI Number
1114321296
Entity Type
Individual
Name
Shantay Ealy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 17, 2014
Last Updated
Oct 17, 2014

Practice Location

Address
35727 RIVER OAKS RD.
ZIP Code
70734-0465
Phone
(225) 454-7956

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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