SHANE ERIN SANNE

JEFFERSON, LA
NPI1073757506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  DO.000223)
Enumeration Date2009-04-28
Last Update Date2016-11-23
Business Address
Mr. SHANE ERIN SANNE
301 BROOKLYN AVE
JEFFERSON, LA 70121-2834
Phone number: 504-491-3902
Mailing Address
Mr. SHANE ERIN SANNE
301 BROOKLYN AVE
JEFFERSON, LA 70121-2834
Phone number: 504-491-3902
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