SHANTAY EALY

GEISMAR, LA
NPI1114321296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  220504)
Enumeration Date2014-10-17
Last Update Date2014-10-17
Business Address
-- SHANTAY EALY
35727 RIVER OAKS RD.
GEISMAR, LA 70734-0465
Phone number: 225-454-7956
Mailing Address
-- SHANTAY EALY
PO BOX 465
GEISMAR, LA 70734-0465
Phone number: 225-454-7956